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NPI Code Detail

MEDICARE: JOHN D VALENTINE

MEDICARE:   JOHN D VALENTINE
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
1208600000XSurgery Physician27697SC
2208600000XSurgery Physician42430TN

Other Identifiers

General Provider Information

NPI Number : 1437178787
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN D VALENTINE
Provider Business Mailing Address
First Line : 107 GLEN OAK BLVD STE 201A
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-3000
Country : US
Telephone Number : 615-757-3451
Fax Number : 615-757-3296
Provider Business Practice Location Address
First Line : 107 GLEN OAK BLVD STE 201A
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-3000
Country : US
Telephone Number : 615-757-3451
Fax Number : 615-757-3296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/17/2023

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Directions to “ JOHN D VALENTINE ” Practice Location

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