Healthcare Provider Details

I. General information

NPI: 1053709758
Provider Name (Legal Business Name): NATHANIEL BRIGGS M.D., M.SC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2015
Last Update Date: 01/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ATHENS WAY
NASHVILLE TN
37228-1308
US

IV. Provider business mailing address

3111 BELWOOD ST
NASHVILLE TN
37203-1210
US

V. Phone/Fax

Practice location:
  • Phone: 615-743-7765
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number0000031822
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: