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NPI Code Detail

MEDICARE: JOHN C DALTON M.D.

MEDICARE: JOHN C DALTON 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
1174400000XSpecialist017244TN
2207L00000XAnesthesiology Physician17244TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23025744OTHERTNBCBS PROVIDER NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932104528
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN C DALTON M.D.
Provider Business Mailing Address
First Line : 110 29TH AVE N
Second Line : STE 202
City : NASHVILLE
State : TN
Zip : 37203-1448
Country : US
Telephone Number : 615-327-7870
Fax Number : 615-327-5435
Provider Business Practice Location Address
First Line : 110 29TH AVE N
Second Line : STE 202
City : NASHVILLE
State : TN
Zip : 37203-1448
Country : US
Telephone Number : 615-327-7870
Fax Number : 615-327-5435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 04/08/2016

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