Individual
DR. ROLAND DOUGLAS EAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD SM
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
47542
MA
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD0000044593
TN
208000000X
Pediatrics Physician
47542
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142204
—
MA
01
—
724924
TUFTS HEALTH PLAN
MA
01
—
E05535
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
03/31/2022
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