Organization
STEWART SHOFNER MD PC
Active
Organization
STEWART SHOFNER MD PC
Active
Other names
Shofner Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA WHITESIDE (PRACTICE ADMINISTRATOR)
(615) 340-4733
Entity
Organization
Contact information
Practice address
2021 CHURCH ST, SUITE 300, NASHVILLE, TN 37203-2021
(615) 340-4733
(615) 340-4734
Mailing address
2021 CHURCH ST, SUITE 300, NASHVILLE, TN 37203-2021
(615) 340-4733
(615) 340-4734
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20369
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102059
BCBST
TN
01
—
01055839
AMERIGROUP
TN
01
—
3050851
MEDICARE PIN
TN
01
—
4402408
AETNA
TN
01
—
P00116360
RAILROAD MEDICARE
TN
Enumeration date
09/01/2010
Last updated
05/22/2014
Update your record
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