Healthcare Provider Details

I. General information

NPI: 1598862591
Provider Name (Legal Business Name): WILLIAM SCOTT WEST MD, PLLC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 BURTON HILLS BLVD SUITE 375
NASHVILLE TN
37215-6140
US

IV. Provider business mailing address

30 BURTON HILLS BLVD SUITE 375
NASHVILLE TN
37215-6140
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-4877
  • Fax: 615-327-4881
Mailing address:
  • Phone: 615-327-4877
  • Fax: 615-327-4881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD0000014347
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: