Healthcare Provider Details

I. General information

NPI: 1811928385
Provider Name (Legal Business Name): MATTHEW DAVID MCEVOY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 DUKE DR STE 200
FRANKLIN TN
37067-2948
US

IV. Provider business mailing address

520 DUKE DR STE 200
FRANKLIN TN
37067-2948
US

V. Phone/Fax

Practice location:
  • Phone: 615-469-0703
  • Fax: 615-469-0806
Mailing address:
  • Phone: 615-469-0703
  • Fax: 615-469-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25802
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number49705
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number49705
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: