Individual
LUIS G FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2325 CRESTMOOR RD STE 201, NASHVILLE, TN 37215-2045
(629) 255-2136
(629) 255-4200
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36604
TN
208M00000X
Hospitalist Physician
36604
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3881516
—
TN
Enumeration date
05/24/2006
Last updated
06/04/2019
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