MEDICARE: MR. RYAN HALE BELCHER MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207YP0228X	Pediatric Otolaryngology Physician	59399	TN

General Provider Information

NPI Number	:	1174866719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RYAN HALE BELCHER MD

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY FL 7
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2208
Country	:	US
Telephone Number	:	615-936-8176
Fax Number	:	615-875-0101

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

Provider Enumeration Date	:	04/02/2013
Last Update Date	:	03/22/2022

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