Individual
MR. MACGREGOR E POLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10071329
AMERIGROUP
TN
05
—
3301485
—
TN
01
—
4016020
BCBS
TN
01
—
64013071
KY MEDICAID
KY
01
—
P01164418
RR MEDICARE
TN
Enumeration date
06/07/2006
Last updated
12/16/2015
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