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NPI Code Detail

MEDICARE: ANNE E ODUFFY MD

MEDICARE: ANNE E ODUFFY MD
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
12084N0400XNeurology PhysicianMD35741TN
22084V0102XVascular Neurology Physician35741TN

General Provider Information

NPI Number : 1245327352
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE E ODUFFY MD
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : VANDERBILT UNIVERSITY DEPT
Second Line : A-0118 MEDICAL CENTER NORTH
City : NASHVILLE
State : TN
Zip : 37232-0001
Country : US
Telephone Number : 615-936-0060
Fax Number : 615-936-1286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 04/01/2022

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