Healthcare Provider Details

I. General information

NPI: 1386729085
Provider Name (Legal Business Name): CARL AWH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 23RD AVE N SUITE 350
NASHVILLE TN
37203-1513
US

IV. Provider business mailing address

345 23RD AVE N SUITE 350
NASHVILLE TN
37203-1513
US

V. Phone/Fax

Practice location:
  • Phone: 615-983-6000
  • Fax: 615-983-6010
Mailing address:
  • Phone: 615-983-6000
  • Fax: 615-983-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD0000025605
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberMD0000025605
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: