=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275689374
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ENDOCRINOLOGY DIABETES ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4230 HARDING PIKE STE 527
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37205-2013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-386-3067
-----------------------------------------------------
Fax | 615-385-0612
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4230 HARDING PIKE STE 527
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37205-2013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-386-3067
-----------------------------------------------------
Fax | 615-385-0612
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | JOAN G. BATTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-467-6513
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------