Individual
JOHN H. PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
391 WALLACE RD, NASHVILLE, TN 37211-4851
(615) 781-4000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20700
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076048
BLUECROSS
KY
05
—
00019934
—
MS
01
—
3051994
BLUECROSS
TN
05
—
3052175
—
TN
05
—
3052176
—
TN
05
—
3052177
—
TN
01
—
3077695
BLUECROSS
TN
01
—
3159791
BLUECROSS
TN
01
—
5M197
BLUECROSS
AR
05
—
64798630
—
KY
01
—
P00220920
RAILROAD MEDICARE
TN
01
—
P00248226
RAILROAD MEDICARE
TN
01
—
P00332581
RAILROAD MEDICARE
TN
Enumeration date
06/03/2006
Last updated
11/12/2007
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