MEDICARE: DR. SUE ANN MCGUIRE 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	207V00000X	Obstetrics & Gynecology Physician	MD0000031539	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	621864397	OTHER	UNITED HEALTHCARE
2	621864397	OTHER	MED COST PREFERRED
3	621864397	OTHER	PAN AMERICAN LIFE
4	4025094	OTHER	TENNCARE SELECT
5	621864397	OTHER	AARP
6	621864397	OTHER	CBCS ADMINISTRATORS
7	621864397	OTHER	GREAT WEST ONE HEALTH
8	7725067	OTHER	AETNA
9	1866883	OTHER	FIRST HEALTH
10	621864397	OTHER	BEECH STREET
11	621864397	OTHER	WILLIAM C BEELER
12	621864397	OTHER	CIGNA
13	4025094	OTHER	BLUE CROSS BLUE SHIELD OF
14	621864397	OTHER	PHCS PRIVATE HEALTHCARE S
15	621864397	OTHER	GOLDEN RULE MIDDLETOWN NY
16	G98850	OTHER	HEALTHSPRING
17	621864397	OTHER	HUMANA
18	621864397	OTHER	INDIAN HEALTH SERVICE

General Provider Information

NPI Number	:	1326031097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUE ANN MCGUIRE MD

Provider Business Mailing Address
First Line	:	2215 JACKSON DOWNS BLVD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-2300
Country	:	US
Telephone Number	:	615-467-6178
Fax Number	:	615-467-6180

Provider Business Practice Location Address
First Line	:	2215 JACKSON DOWNS BLVD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214
Country	:	US
Telephone Number	:	615-467-6178
Fax Number	:	615-467-6180

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

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	07/29/2019

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