Individual
JOE M CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 CHURCH ST, MID STATE MEDICAL CENTER SUITE 705, NASHVILLE, TN 37203-2012
(615) 329-7930
Mailing address
2010 CHURCH ST, MID STATE MEDICAL CENTER SUITE 705, NASHVILLE, TN 37203-2012
(615) 329-7930
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TN007758
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025540
BLUE CROSS
—
01
—
CSP053
CIGNA
—
01
—
OP34422
UNITED HEALTHCARE
—
Enumeration date
07/03/2006
Last updated
07/08/2007
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