Individual
DR. JEFFERY BARTHOLOMEAU DATTILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HARDING PIKE STE 705, NASHVILLE, TN 37205-2013
(615) 385-1547
(615) 297-9161
Mailing address
410 42ND AVE N STE 400, NASHVILLE, TN 37209-3658
(615) 329-7887
(615) 346-6225
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
205177
MA
2086S0129X
Vascular Surgery Physician
Primary
36524
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007288
—
TN
Enumeration date
12/06/2005
Last updated
03/06/2024
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