Healthcare Provider Details

I. General information

NPI: 1740571116
Provider Name (Legal Business Name): MALLARY ELIZABETH HODGES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MALLARY BEUTLER MD

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PATTERSON ST
NASHVILLE TN
37203-1538
US

IV. Provider business mailing address

1700 MEDICAL CENTER PKWY ST THOMAS RUTHERFORD
MURFREESBORO TN
37129-2245
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number51614
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number51614
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: