Individual
JACKSON DANIEL COTHREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 MURPHY AVE STE 407, NASHVILLE, TN 37203-1864
(615) 815-2350
(615) 522-5040
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD6483
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6066853
BLUE CROSS BLUE SHIELD
TN
05
—
Q009775
—
TN
Enumeration date
05/23/2005
Last updated
03/22/2021
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