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NPI Code Detail

MEDICARE: FRANK BLONVIL LOUTHAN III MD

MEDICARE: FRANK BLONVIL LOUTHAN III MD
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
1207RP1001XPulmonary Disease PhysicianMD20149TN
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianMD20149TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13044166OTHERTNBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609844489
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK BLONVIL LOUTHAN III MD
Provider Business Mailing Address
First Line : 1800 MEDICAL CENTER PKWY STE 310
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2586
Country : US
Telephone Number : 615-849-9868
Fax Number : 615-898-1882
Provider Business Practice Location Address
First Line : 1700 MEDICAL CENTER PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2245
Country : US
Telephone Number : 615-396-4694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 04/01/2025

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