Individual
DR. MARK TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HARDING PIKE, SUITE 430, NASHVILLE, TN 37205-2013
(615) 385-4781
(615) 385-9265
Mailing address
501 GREAT CIRCLE RD, SUITE 200, NASHVILLE, TN 37228-1317
(615) 222-7685
(615) 222-7237
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD029206
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01616927
AMERIGROUP
TN
01
—
0995624
AETNA HMO
TN
01
—
1840022
UNITED HEALTHCARE
TN
05
—
3812958
—
TN
01
—
4334022
BCBST
TN
01
—
5463506
AETNA PPO
TN
01
—
8773249003
CIGNA PPO
TN
01
—
8773249004
CIGNA HMO
TN
01
—
P01004440
RR MEDICARE
TN
Enumeration date
05/31/2005
Last updated
08/16/2019
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