Basic Information
| Provider Information | |||||||||
| NPI: | 1528371747 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEHARRY MEDICAL COLLEGE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1005 DR D B TODD JR BLVD | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153276611 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1005 DR. D.B. TODD JR. BLVD. | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372083509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153276611 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2010 | ||||||||
| LastUpdateDate: | 07/16/2010 | ||||||||
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| AuthorizedOfficialLastName: | NJINGEH | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
| AuthorizedOfficialMiddleName: | ABOYAWOH | ||||||||
| AuthorizedOfficialTitleorPosition: | RESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6153276211 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 390200000X | TN | Y | Hospitals | General Acute Care Hospital |
No ID Information.