MEDICARE: DR. JOSEPH G. FINE 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	208600000X	Surgery Physician	22706	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1982601399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH G. FINE M.D.

Provider Business Mailing Address
First Line	:	330 SEVEN SPRINGS WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5098
Country	:	US
Telephone Number	:	615-920-7906
Fax Number	:	615-920-8775

Provider Business Practice Location Address
First Line	:	8 LINVILLE DR
Second Line	:	SUITE B
City	:	PARIS
State	:	KY
Zip	:	40361-2128
Country	:	US
Telephone Number	:	859-987-1195
Fax Number	:	859-987-1107

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	03/03/2017

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