MEDICARE: METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON CITY EMPS

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1538270673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON CITY EMPS

Provider Business Mailing Address
First Line	:	311 23RD AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1503
Country	:	US
Telephone Number	:	615-340-5638
Fax Number	:	615-340-2121

Provider Business Practice Location Address
First Line	:	311 23RD AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1503
Country	:	US
Telephone Number	:	615-340-5638
Fax Number	:	615-340-2121

Authorized Official
Title or Position	:	DIRECTOR-FINANCE AND ADMINISTRATION
Name	:	MR. WILLIAM S. PAUL
Credential	:	M.D.
Telephone Number	:	615-340-5602

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/10/2007

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