MEDICARE: STEPHANIE DENISE POINTER

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	207R00000X	Internal Medicine Physician	52077	TN
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RG0100X	Gastroenterology Physician	52077	TN

General Provider Information

NPI Number	:	1518300607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE DENISE POINTER

Provider Business Mailing Address
First Line	:	300 20TH AVE N STE 403
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5180
Country	:	US
Telephone Number	:	615-284-7283
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 WALLACE RD STE 103
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-4981
Country	:	US
Telephone Number	:	615-832-5530
Fax Number	:	615-832-5713

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

Provider Enumeration Date	:	04/09/2013
Last Update Date	:	05/08/2022

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Directions to “ STEPHANIE DENISE POINTER ” Practice Location

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