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Individual

MR. MICHAEL MARLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5514
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00404600
NJ
363A00000X
Physician Assistant
Primary
4146
TN
363AM0700X
Medical Physician Assistant
020233
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q057907
TN
Enumeration date
08/25/2016
Last updated
05/06/2025
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