Individual
MR. MICHAEL G CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 23RD AVE N, SUITE 500, NASHVILLE, TN 37203-1534
(615) 342-5900
(615) 342-7864
Mailing address
330 23RD AVE N, SUITE 500, NASHVILLE, TN 37203-1534
(615) 342-5900
(615) 342-7864
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD019713
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110212235
RR MEDICARE
TN
05
—
3060045
—
TN
05
—
64915648
—
KY
Enumeration date
09/16/2005
Last updated
06/11/2015
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