Individual
MR. JOE M MACCURDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD27977
TN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
27977
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509290
MEDICAID - MTI
TN
05
—
1509290
—
TN
01
—
300108659
RAILROAD MEDICARE
TN
01
—
3036428
BCBS
TN
01
—
3135899
BCBS
TN
05
—
3801251
—
TN
01
—
4200961
BCBS TN
TN
01
—
4291326
BCBS - MTI
TN
05
—
64924574
—
KY
01
—
64924575
KY MEDICAID
KY
Enumeration date
05/24/2006
Last updated
03/13/2024
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