Healthcare Provider Details

I. General information

NPI: 1730514894
Provider Name (Legal Business Name): DAVID SEHORN P.A.-C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 COCKRILL BEND BLVD
NASHVILLE TN
37209-1056
US

IV. Provider business mailing address

3336 EARHART RD
MOUNT JULIET TN
37122-3726
US

V. Phone/Fax

Practice location:
  • Phone: 615-350-2700
  • Fax: 615-350-2813
Mailing address:
  • Phone: 615-232-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA0000000037
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: