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NPI Code Detail

MEDICARE: DR. SUZANNE B BRYANT M.D.

MEDICARE: DR. SUZANNE B BRYANT 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
1207V00000XObstetrics & Gynecology Physician53215TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1103I168148OTHERTNMEDICARE PIN

Other Identifiers

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

General Provider Information

NPI Number : 1336434356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZANNE B BRYANT M.D.
Provider Business Mailing Address
First Line : 300 20TH AVE N STE 403
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2131
Country : US
Telephone Number : 615-284-2988
Fax Number : 615-284-2995
Provider Business Practice Location Address
First Line : 300 20TH AVE N STE 302
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2179
Country : US
Telephone Number : 615-284-2988
Fax Number : 615-284-2995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2011
Last Update Date : 06/13/2019

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