Individual
DR. NESTOR ARMANDO OJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S CLYDETON RD, WAVERLY, TN 37185-2140
(931) 296-2737
(931) 296-1656
Mailing address
300 S CLYDETON RD, WAVERLY, TN 37185-2140
(931) 296-2737
(931) 296-1656
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD021076
TN
2080N0001X
Neonatal-Perinatal Medicine Physician
MD021076
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111969
BC/BS
TN
05
—
3056699
—
TN
Enumeration date
05/11/2006
Last updated
05/10/2010
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