Individual
BLACKFORD MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 MEDICAL CENTER DR, VANDERBILT UNIVERSITY MEDICAL CENTER, NASHVILLE, TN 37232-0004
(615) 322-5000
Mailing address
3401 W END AVE, VANDERBILT UNIVERSITY MEDICAL CENTER, NASHVILLE, TN 37203-1042
(615) 873-3705
(615) 322-5610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
213036
MA
207R00000X
Internal Medicine Physician
Primary
50052
TN
Other
Enumeration date
07/17/2006
Last updated
12/02/2013
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