MEDICARE: DR. JOHN MATTHEW COREY M.D.

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	207L00000X	Anesthesiology Physician	A81387	CA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	47877	TN
3	208VP0000X	Pain Medicine Physician	RT-2148	NH
4	208VP0000X	Pain Medicine Physician	47877	TN
5	207L00000X	Anesthesiology Physician	MD47877	TN

General Provider Information

NPI Number	:	1821060435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MATTHEW COREY M.D.

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:	615-936-3779
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 21ST AVE S
Second Line	:	MEDICAL ARTS BUILDING, ROOM 701
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2717
Country	:	US
Telephone Number	:	615-936-3779
Fax Number	:

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	09/23/2022

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