Individual
LINDA S BONVISSUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4230 HARDING PIKE STE 500, NASHVILLE, TN 37205-4903
(629) 255-2118
(629) 255-4092
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000037544
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531962
—
TN
Enumeration date
03/20/2007
Last updated
01/28/2022
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