Individual
DR. RICHARD GRAVES SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,JD,MS, FASAM
Contact information
Practice address
110 29TH AVE N STE 300, NASHVILLE, TN 37203-1401
(615) 292-5747
(615) 292-5749
Mailing address
110 29TH AVE N STE 300, NASHVILLE, TN 37203-1401
(615) 292-5747
(615) 292-5749
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
13558
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3887354
PERFORMING PROVIDER
TN
Enumeration date
06/21/2006
Last updated
02/23/2021
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