Individual
TOUG MARK TANAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 300C, HENDERSONVILLE, TN 37075-2384
(615) 824-0043
Mailing address
353 NEW SHACKLE ISLAND RD STE 300C, HENDERSONVILLE, TN 37075-2384
(615) 824-0043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10049487
TX
207RI0011X
Interventional Cardiology Physician
Primary
63496
TN
Other
Enumeration date
04/09/2014
Last updated
07/19/2021
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