Organization
NASHVILLE BREAST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WHITWORTH M.D. (PRESIDENT)
(615) 620-5535
Entity
Organization
Contact information
Practice address
300 20TH AVE N STE 401, NASHVILLE, TN 37203-2121
(615) 620-5535
(615) 284-7794
Mailing address
300 20TH AVE N STE 401, NASHVILLE, TN 37203-2121
(615) 620-5535
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21350
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3162057
BLUE CROSS BLUE SHIELD
TN
05
—
3822006
—
TN
Enumeration date
08/17/2006
Last updated
03/14/2008
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