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NPI Code Detail

MEDICARE: DR. RONALD B ADDLESTONE MD

MEDICARE:  DR. RONALD B ADDLESTONE  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
12085R0205XRadiological Physics Physician8568TN

Other Identifiers

General Provider Information

NPI Number : 1790769412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD B ADDLESTONE MD
Provider Business Mailing Address
First Line : 210 25TH AVE N
Second Line : SUITE 602
City : NASHVILLE
State : TN
Zip : 37203-1606
Country : US
Telephone Number : 615-312-0600
Fax Number : 615-320-3259
Provider Business Practice Location Address
First Line : 4220 HARDING RD
Second Line : ST THOMAS HOSPITAL
City : NASHVILLE
State : TN
Zip : 37205-2005
Country : US
Telephone Number : 615-222-6095
Fax Number : 615-222-6321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 07/09/2007

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