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NPI Code Detail

MEDICARE: SARAH BOURGEOIS HOMANN MD

MEDICARE: SARAH BOURGEOIS HOMANN 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
1207RR0500XRheumatology Physician57220TN
2207R00000XInternal Medicine Physician57220TN
3207RR0500XRheumatology PhysicianQ3382TX
4207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician57220TN

Other Identifiers

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

General Provider Information

NPI Number : 1346595931
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BOURGEOIS HOMANN 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 : 3601 THE VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-2637
Country : US
Telephone Number : 615-936-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2012
Last Update Date : 12/30/2025

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