MEDICARE: YULIA WYTHOFF 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	2084P0800X	Psychiatry Physician	601	TN

General Provider Information

NPI Number	:	1386967610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULIA WYTHOFF M.D.

Provider Business Mailing Address
First Line	:	2014 QUAIL HOLLOW CIR
Second Line	:	ROLLING HILLS HOSPITAL
City	:	FRANKLIN
State	:	TN
Zip	:	37067-5967
Country	:	US
Telephone Number	:	615-628-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 QUAIL HOLLOW CIR
Second Line	:	ROLLING HILLS HOSPITAL
City	:	FRANKLIN
State	:	TN
Zip	:	37067-5967
Country	:	US
Telephone Number	:	615-628-5700
Fax Number	:

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

Provider Enumeration Date	:	03/01/2010
Last Update Date	:	01/13/2012

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