Healthcare Provider Details

I. General information

NPI: 1962852103
Provider Name (Legal Business Name): ASHLEY RHODES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY MAJOR

II. Dates (important events)

Enumeration Date: 06/19/2016
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 1ST ST
MONTEAGLE TN
37356-7401
US

IV. Provider business mailing address

102 WOODMONT BLVD STE 600
NASHVILLE TN
37205-5250
US

V. Phone/Fax

Practice location:
  • Phone: 319-967-3616
  • Fax: 319-924-8001
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number19327
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number71688
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: