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NPI Code Detail

MEDICARE: THOMAS BABCOCK IV M.D.

MEDICARE: THOMAS BABCOCK IV 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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianMD0000043128TN

General Provider Information

NPI Number : 1164579967
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS BABCOCK IV M.D.
Provider Business Mailing Address
First Line : 4608 INDIANA AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-2328
Country : US
Telephone Number : 615-604-8364
Fax Number :
Provider Business Practice Location Address
First Line : 6746 CHARLOTTE PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209
Country : US
Telephone Number : 615-647-9005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 08/09/2018

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