Healthcare Provider Details

I. General information

NPI: 1184118234
Provider Name (Legal Business Name): KATHERINE ELIZABETH BUESSER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 DICKERSON PIKE STE 190
NASHVILLE TN
37207-2533
US

IV. Provider business mailing address

PO BOX 370
FORTSON GA
31808-0370
US

V. Phone/Fax

Practice location:
  • Phone: 615-860-1580
  • Fax:
Mailing address:
  • Phone: 706-494-3071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number2023010865
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number71290
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: