Individual
TIMOTHY C NAUERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE, MEMPHIS, TN 38159
(901) 383-8860
(901) 383-1194
Mailing address
PO BOX 2121, MEMPHIS, TN 38159
(901) 383-8860
(901) 383-8985
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18246
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115966
—
MS
05
—
3043967
—
TN
01
—
77566
BCBS
TN
01
—
90196
BCBS
AR
Enumeration date
08/19/2006
Last updated
07/08/2007
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