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Individual

DR. JAMIE P. DWYER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-2000
Mailing address
NEPHROLOGY AND HYPERTENSION, MCN S-3223, VANDERBILT MEDICAL CENTER, NASHVILLE, TN 37232-0001
(615) 322-5914
(615) 343-2605

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12514903-1205
UT
207RN0300X
Nephrology Physician
43912
TN
207RN0300X
Nephrology Physician
ME83101
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05073
BLUE CROSS BLUE SHIELD
FL
01
110234022
RAILROAD MEDICARE
FL
05
263492900
FL
Enumeration date
08/12/2006
Last updated
03/06/2022
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