Organization
PULMONARY FUNCTION LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JARVIS M.D. (OWNER)
(615) 342-7870
Entity
Organization
Contact information
Practice address
345 24TH AVE N, SUITE 209, NASHVILLE, TN 37203-1520
(615) 327-1034
Mailing address
PO BOX 22329, NASHVILLE, TN 37202-2329
(615) 327-2692
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3067873
BLUE CROSS
TN
Enumeration date
06/05/2006
Last updated
08/22/2020
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