MEDICARE: DAVID MICHAEL SAPPINGTON

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1133	TN

General Provider Information

NPI Number	:	1639754096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MICHAEL SAPPINGTON

Provider Business Mailing Address
First Line	:	2701 MCKEIGE DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3126
Country	:	US
Telephone Number	:	615-714-3785
Fax Number	:

Provider Business Practice Location Address
First Line	:	3441 LEBANON PIKE STE 108
Second Line	:
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2000
Country	:	US
Telephone Number	:	615-690-4546
Fax Number	:

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

Provider Enumeration Date	:	03/16/2021
Last Update Date	:	03/16/2021

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