Individual
JOHN M BOONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2499
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25980
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710080
—
TN
05
—
3710089
—
TN
05
—
3869002
—
TN
01
—
4023232
BCBSTN
TN
01
—
4139142
BCBST
TN
Enumeration date
09/28/2006
Last updated
03/21/2022
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