Healthcare Provider Details

I. General information

NPI: 1689188666
Provider Name (Legal Business Name): CATHERINE ANNE MCKAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2017
Last Update Date: 11/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 DIVISION ST
NASHVILLE TN
37203-4000
US

IV. Provider business mailing address

4917 GRANNY WHITE PIKE
NASHVILLE TN
37220-1401
US

V. Phone/Fax

Practice location:
  • Phone: 615-274-8400
  • Fax:
Mailing address:
  • Phone: 770-654-0261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: