MEDICARE: METRO PUBLIC HEALTH DEPARTMENT

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	261QP0905X	State or Local Public Health Clinic/Center	0000062938	TN

General Provider Information

NPI Number	:	1275804908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO PUBLIC HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	311 23RD AVENUE NORTH
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1511
Country	:	US
Telephone Number	:	615-340-5674
Fax Number	:	615-340-2199

Provider Business Practice Location Address
First Line	:	311 23RD AVENUE NORTH
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1511
Country	:	US
Telephone Number	:	615-340-5620
Fax Number	:	615-340-2113

Authorized Official
Title or Position	:	DIRECTOR OF HEALTH
Name	:	DR. WILLIAM PAUL
Credential	:	MD
Telephone Number	:	615-340-5620

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	04/02/2012

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Directions to “METRO PUBLIC HEALTH DEPARTMENT ” Practice Location

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