MEDICARE: DR. FREDERICK MICHAEL ISAACSON 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
1	2085R0202X	Diagnostic Radiology Physician	MD29053	TN
2	208D00000X	General Practice Physician	29053	TN

General Provider Information

NPI Number	:	1376634048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK MICHAEL ISAACSON M.D.

Provider Business Mailing Address
First Line	:	1451 GREEN HILL BLVD
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7492
Country	:	US
Telephone Number	:	615-587-0845
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 GREEN HILL BLVD
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7492
Country	:	US
Telephone Number	:	615-587-0845
Fax Number	:

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	05/11/2015

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