Individual
RODERICK I BAHNER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3443 DICKERSON PIKE, STE 370, NASHVILLE, TN 37207-2519
(615) 865-5830
(615) 865-5831
Mailing address
515 STONECREST PKWY, STE 210, SMYRNA, TN 37167-6826
(615) 625-7112
(615) 625-7028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD07205
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502881
—
TN
Enumeration date
09/22/2005
Last updated
01/21/2013
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