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NPI Code Detail

MEDICARE: MICHAEL FRANCIS EAGLE P.A.-C

MEDICARE: MICHAEL FRANCIS EAGLE P.A.-C
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
1363A00000XPhysician Assistant1419TN
2363AS0400XSurgical Physician AssistantPA1419TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1970010580OTHERFLRAILROAD

General Provider Information

NPI Number : 1932180841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL FRANCIS EAGLE P.A.-C
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 : 615-790-3290
Fax Number : 615-794-8845
Provider Business Practice Location Address
First Line : 206 BEDFORD WAY
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5526
Country : US
Telephone Number : 615-790-3290
Fax Number : 615-794-8845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 03/31/2022

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