Basic Information
| Provider Information | |||||||||
| NPI: | 1770646168 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWITTER | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | JOHN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2010 CHURCH STREET | ||||||||
| Address2: | SUITE 615 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152847949 | ||||||||
| FaxNumber: | 6152845750 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 CHURCH STREET | ||||||||
| Address2: | PATHOLOGY DEPT | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152845229 | ||||||||
| FaxNumber: | 6152844373 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 9712 | TN | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
ID Information
| ID | Type | State | Issuer | Description | 3030968 | 01 | BCBS | OTHER | 3041685 | 01 | NON HOSP | OTHER | 3041686 | 05 | TN | MEDICAID |