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NPI Code Detail

MEDICARE: JOHN C CHANNELL M.D.

MEDICARE: JOHN C CHANNELL 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 Physician27814TN

General Provider Information

NPI Number : 1588667737
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN C CHANNELL M.D.
Provider Business Mailing Address
First Line : PO BOX 440222
Second Line :
City : NASHVILLE
State : TN
Zip : 37244-0222
Country : US
Telephone Number : 615-284-2929
Fax Number : 615-284-2920
Provider Business Practice Location Address
First Line : 2011 MURPHY AVE
Second Line : STE 302
City : NASHVILLE
State : TN
Zip : 37203-2023
Country : US
Telephone Number : 615-284-2929
Fax Number : 615-284-2920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ JOHN C CHANNELL M.D.” Practice Location

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