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NPI Code Detail

MEDICARE: DR. MATTHEW BLAKE DWYER MD

MEDICARE: DR. MATTHEW BLAKE DWYER 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
1390200000XStudent in an Organized Health Care Education/Training ProgramTN

General Provider Information

NPI Number : 1992641427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW BLAKE DWYER MD
Provider Business Mailing Address
First Line : 1211 MEDICAL CENTER DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0004
Country : US
Telephone Number : 615-936-1830
Fax Number : 615-936-3412
Provider Business Practice Location Address
First Line : 1211 MEDICAL CENTER DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0004
Country : US
Telephone Number : 615-936-1830
Fax Number : 615-936-3412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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