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NPI Code Detail

MEDICARE: DR. DAVIS PAPPANDREOU BERRY M.D,

MEDICARE: DR. DAVIS PAPPANDREOU BERRY 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
12086S0102XSurgical Critical Care Physician59975TN
22086S0127XTrauma Surgery Physician59975TN
3208600000XSurgery Physician59975TN

General Provider Information

NPI Number : 1316380744
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVIS PAPPANDREOU BERRY M.D,
Provider Business Mailing Address
First Line : PO BOX 415000-MSC8231
Second Line :
City : NASHVILLE
State : TN
Zip : 37241-8182
Country : US
Telephone Number : 865-670-6199
Fax Number : 865-670-6198
Provider Business Practice Location Address
First Line : 1932 ALCOA HWY STE 270
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-1537
Country : US
Telephone Number : 865-251-4658
Fax Number : 865-251-4659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 06/20/2021

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