Organization
GREATER NASHVILLE PERINATOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E DEROCHE MD (PHYSICIAN SOLE PROPRIETOR)
(615) 984-7682
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD, SUITE 290, SMYRNA, TN 37167-5688
(615) 459-2051
(615) 459-2061
Mailing address
300 STONECREST BLVD, SUITE 290, SMYRNA, TN 37167-5688
(615) 459-2051
(615) 459-2061
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
37775
TN
Other
Enumeration date
12/09/2008
Last updated
01/15/2015
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