Individual
DR. NATHAN JOHN HOELDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 SKYLINE DR, MID-SOUTH PERINATAL ASSOCIATES, JACKSON, TN 38301-3923
(731) 541-6939
(731) 541-4570
Mailing address
119 STORNAWAY DR, JACKSON, TN 38305-7576
(731) 541-6939
(731) 541-4570
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD0000037448
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00074891
—
MS
05
—
3830255
—
TN
01
—
4138631
BCBS
—
Enumeration date
11/22/2005
Last updated
05/12/2011
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