Individual
NATHAN A CASDORPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2010 CHURCH ST, STE 700, NASHVILLE, TN 37203-2012
(615) 329-7878
(615) 329-7899
Mailing address
501 GREAT CIRCLE RD, STE. 200, NASHVILLE, TN 37228-1317
(615) 329-7878
(615) 329-7899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1810
TN
363AS0400X
Surgical Physician Assistant
PA1810
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLIED FOR
BCBST
TN
05
—
APPLIED FOR
—
TN
Enumeration date
11/17/2006
Last updated
02/20/2017
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