Healthcare Provider Details
I. General information
NPI: 1700865326
Provider Name (Legal Business Name): SUSANNE TROPEZ-SIMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/12/2006
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1005 DR. D. B. TODD BLVD
NASHVILLE TN
37208
US
IV. Provider business mailing address
1005 DR. D. B. TODD BLVD
NASHVILLE TN
37208
US
V. Phone/Fax
- Phone: 615-327-6332
- Fax: 615-327-5555
- Phone: 615-327-6332
- Fax: 615-327-5555
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080A0000X |
| Taxonomy | Pediatric Adolescent Medicine Physician |
| License Number | 29770 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: