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NPI Code Detail

MEDICARE: DR. VERONICA T MALLETT MD

MEDICARE: DR. VERONICA T MALLETT 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
1207V00000XObstetrics & Gynecology Physician40139TN
2207VG0400XGynecology Physician40139TN
32088F0040XUrogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianP3924TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2TXB123903OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922064096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERONICA T MALLETT MD
Provider Business Mailing Address
First Line : 1005 DR DB TODD JR BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-3501
Country : US
Telephone Number : 615-327-6204
Fax Number : 615-327-5555
Provider Business Practice Location Address
First Line : 1005 DR DB TODD JR BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-3501
Country : US
Telephone Number : 615-327-5944
Fax Number : 615-327-5555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 04/06/2017

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Directions to “ DR. VERONICA T MALLETT MD” Practice Location

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