MEDICARE: BRIAN SCHLICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	60111	TN

General Provider Information

NPI Number	:	1063946945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN SCHLICK

Provider Business Mailing Address
First Line	:	2004 HAYES ST STE 800
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2659
Country	:	US
Telephone Number	:	615-329-0570
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 CEDAR LN STE 200
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-4761
Country	:	US
Telephone Number	:	931-393-3143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2017
Last Update Date	:	09/27/2023

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Directions to “ BRIAN SCHLICK ” Practice Location

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