MEDICARE: DONALD E VOLLMER II M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	31287	TN
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	31287	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184612921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD E VOLLMER II M.D.

Provider Business Mailing Address
First Line	:	166 E MAIN ST
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-2520
Country	:	US
Telephone Number	:	615-822-3000
Fax Number	:	615-348-0109

Provider Business Practice Location Address
First Line	:	166 E MAIN ST
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-2520
Country	:	US
Telephone Number	:	615-822-3000
Fax Number	:	615-348-0109

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	07/14/2014

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