MEDICARE: PRECEPTORS LLC

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255378642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECEPTORS LLC

Provider Business Mailing Address
First Line	:	2000 CHURCH ST
Second Line	:	DEPT. OF INTERNAL MEDICINE
City	:	NASHVILLE
State	:	TN
Zip	:	37236-0001
Country	:	US
Telephone Number	:	615-284-5185
Fax Number	:	615-284-3147

Provider Business Practice Location Address
First Line	:	1911 STATE ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2209
Country	:	US
Telephone Number	:	615-284-5185
Fax Number	:	615-284-3147

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TRACEY E. DOERING
Credential	:	M.D.
Telephone Number	:	615-284-2155

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/15/2007

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Directions to “PRECEPTORS LLC ” Practice Location

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