Individual
DR. DIVINA T. PO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.06
Contact information
Practice address
3443 DICKERSON PIKE STE 260, NASHVILLE, TN 37207-2534
(615) 868-0323
Mailing address
3443 DICKERSON PIKE STE 260, NASHVILLE, TN 37207-2534
(615) 868-0323
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD 8180
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000826
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/19/2006
Last updated
07/08/2007
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