Healthcare Provider Details

I. General information

NPI: 1548439847
Provider Name (Legal Business Name): CAROLINE H. CHESTER, M.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 MURPHY AVE SUITE 403
NASHVILLE TN
37203-1835
US

IV. Provider business mailing address

2201 MURPHY AVE SUITE 403
NASHVILLE TN
37203-1835
US

V. Phone/Fax

Practice location:
  • Phone: 615-320-3773
  • Fax: 615-320-9815
Mailing address:
  • Phone: 615-320-3773
  • Fax: 615-320-9815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number23862
License Number StateTN

VIII. Authorized Official

Name: MS. CAROLINE H CHESTER
Title or Position: OWNER
Credential: M.S.
Phone: 615-320-3773