Individual
GREGORY L VERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 320-3259
Mailing address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 320-3259
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
41755
TN
2085R0202X
Diagnostic Radiology Physician
Primary
41755
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000026
—
TN
05
—
30000261
—
TN
01
—
4150628
BCBS OF TN-PLAZA
TN
01
—
4150629
BCBS OF TN- ADR
TN
01
—
41755
TN MED LIC
TN
05
—
545965869
—
GA
Enumeration date
04/17/2007
Last updated
03/04/2021
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