Individual
SUSAN O HARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 22ND AVE N, NASHVILLE, TN 37203
(629) 255-2185
(629) 255-4144
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
46880
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46880
MEDICAL LICENSE
TN
05
—
Q014755
—
TN
Enumeration date
05/07/2009
Last updated
06/28/2018
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