Individual
JOHN C DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1448
(615) 327-7870
(615) 327-5435
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1448
(615) 327-7870
(615) 327-5435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
017244
TN
207L00000X
Anesthesiology Physician
Primary
17244
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009991825
—
AL
05
—
3022571
—
TN
01
—
3025744
BCBS PROVIDER NUMBER
TN
05
—
64911522
—
KY
Enumeration date
06/20/2005
Last updated
04/08/2016
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