MEDICARE: DR. PHILIP E. FLEMING M.D.

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	174400000X	Specialist	MD0000014474	TN
2	208200000X	Plastic Surgery Physician	MD0000014474	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6029206	OTHER	TN	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154309896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP E. FLEMING M.D.

Provider Business Mailing Address
First Line	:	2001 CHARLOTTE AVE STE 205
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2032
Country	:	US
Telephone Number	:	615-377-7702
Fax Number	:	615-377-7741

Provider Business Practice Location Address
First Line	:	2001 CHARLOTTE AVE STE 205
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2032
Country	:	US
Telephone Number	:	615-377-7702
Fax Number	:	615-377-7741

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	07/03/2024

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