Healthcare Provider Details

I. General information

NPI: 1124065420
Provider Name (Legal Business Name): DAVID HUGHES MCCORD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 POTEAT PL
FRANKLIN TN
37064-2041
US

IV. Provider business mailing address

229 POTEAT PL
FRANKLIN TN
37064-2041
US

V. Phone/Fax

Practice location:
  • Phone: 615-330-0509
  • Fax: 615-321-0604
Mailing address:
  • Phone: 615-330-0509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD0000021573
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD0000021573
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberMD21573
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: