Individual
DR. JEROME SEYMOUR TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
511 UNION ST, SUITE 1800, NASHVILLE, TN 37219-1733
(615) 467-0140
Mailing address
511 UNION ST, SUITE 1800, NASHVILLE, TN 37219-1733
(615) 467-0140
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD9962
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD9962
MEDICAL LICENSE
TN
Enumeration date
12/16/2008
Last updated
03/07/2023
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