Individual
NIGEL M FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNITY MEDICAL CENTER, 482 INTERSTATE DRIVE, MANCHESTER, TN 37355
(931) 450-1730
(931) 461-7086
Mailing address
165 CHARLESTON PARK, NASHVILLE, TN 37205-4703
(615) 364-7472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20399
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057116
—
TN
01
—
4120635
BLUE CROSS
TN
05
—
E90239
—
TN
01
—
P00296999
MEDICARE RAILROAD
TN
Enumeration date
05/27/2006
Last updated
01/10/2022
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