Individual
DEBORAH J KONDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2011 CHURCH ST, SUITE 403, NASHVILLE, TN 37203-2000
(615) 284-6555
(615) 284-6558
Mailing address
2011 CHURCH ST, SUITE 403, NASHVILLE, TN 37203-2000
(615) 284-6555
(615) 284-6558
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD17301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160026801
—
TN
01
—
3009669
BCBS
TN
Enumeration date
11/08/2005
Last updated
01/12/2010
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