Healthcare Provider Details

I. General information

NPI: 1497044093
Provider Name (Legal Business Name): DARIAN EUGENE REDDICK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 08/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 TEMPLE RD STE 301
NASHVILLE TN
37221-4223
US

IV. Provider business mailing address

300 20TH AVE N STE 403
NASHVILLE TN
37203-5180
US

V. Phone/Fax

Practice location:
  • Phone: 629-208-6160
  • Fax: 628-280-6161
Mailing address:
  • Phone: 615-284-4029
  • Fax: 615-284-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number301941
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number301941
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number56421
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: