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Individual

LARRY H PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 25TH AVE N STE 602, NASHVILLE, TN 37203-1631
(615) 312-0600
(615) 320-3259
Mailing address
PO BOX 3146, INDIANAPOLIS, IN 46206-3146
(855) 206-8406
(855) 823-8132

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13389
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000257969
GA
05
009933182
AL
01
300046228
RR MCARE-ADR
TN
01
300064449
RR MCARE- CI
TN
01
3031080
ADR BC/BS OF TN
TN
01
3049711
PLAZA BC/BS OF TN
TN
Enumeration date
07/06/2006
Last updated
11/10/2018
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