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NPI Code Detail

MEDICARE: DR. MARY KAY WASHINGTON M.D.

MEDICARE: DR. MARY KAY WASHINGTON 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician27860TN

General Provider Information

NPI Number : 1629082888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY KAY WASHINGTON M.D.
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 : 615-343-5655
Fax Number : 615-343-7023
Provider Business Practice Location Address
First Line : C-3321 MCN DEPARTMENT OF PATHOLOGY
Second Line : VANDERBILT UNIVERSITY MEDICAL CENTER
City : NASHVILLE
State : TN
Zip : 37232-0001
Country : US
Telephone Number : 615-343-5655
Fax Number : 615-343-7023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/15/2022

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