MEDICARE: PETER LARS CATHCART 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	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	60047	TN
2	207R00000X	Internal Medicine Physician	60047	TN

General Provider Information

NPI Number	:	1407115538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER LARS CATHCART M.D.

Provider Business Mailing Address
First Line	:	225 S 11TH ST STE 101A
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3131
Country	:	US
Telephone Number	:	612-616-4664
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 S 11TH ST STE 101A
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3131
Country	:	US
Telephone Number	:	612-616-4664
Fax Number	:

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

Provider Enumeration Date	:	05/09/2012
Last Update Date	:	07/17/2024

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