Individual
DR. DEON TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 E HIGH ST STE 200, LEBANON, TN 37087-6709
(615) 227-3000
Mailing address
2711 FOSTER AVE, NASHVILLE, TN 37210-5307
(615) 620-8647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
55364
TN
207Q00000X
Family Medicine Physician
Primary
58523
KY
Other
Enumeration date
05/22/2014
Last updated
12/14/2023
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