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Individual

BRENT WAYNE COIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4230 HARDING PIKE, SUITE 530, NASHVILLE, TN 37205-2013
(615) 297-6006
(615) 222-1200
Mailing address
4230 HARDING PIKE, SUITE 530, NASHVILLE, TN 37205-2013
(615) 297-6006
(615) 222-1200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01044139A
IN
207Q00000X
Family Medicine Physician
Primary
50601
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000982
MPLAN
01
000000206175
BLUE CROSS
05
200008800A
IN
01
6007890
BCBS
TN
01
P01290668
RR MEDICARE
TN
05
Q004110
TN
Enumeration date
06/22/2006
Last updated
10/15/2014
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