Individual
DR. STEPHEN T TICARIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3443 DICKERSON PIKE, SUITE 430, NASHVILLE, TN 37207-2519
(615) 868-0352
(615) 868-4076
Mailing address
3443 DICKERSON PIKE, SUITE 430, NASHVILLE, TN 37207-2519
(615) 868-0352
(615) 868-4076
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD09568
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3189831
—
TN
Enumeration date
07/18/2006
Last updated
07/08/2007
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