Healthcare Provider Details

I. General information

NPI: 1851214142
Provider Name (Legal Business Name): EUGENE JULIAN WINTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 N MOUNT JULIET RD
MT JULIET TN
37122-8015
US

IV. Provider business mailing address

1212 CANNON LN
MOUNT JULIET TN
37122-6145
US

V. Phone/Fax

Practice location:
  • Phone: 615-773-5785
  • Fax: 615-773-4001
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number11130
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: