Individual
DR. JORGE MIGUEL OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 VIRGINIA WAY, 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
052395
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
052395
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796318210A
—
GA
Enumeration date
02/06/2006
Last updated
08/08/2011
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