Individual
DR. MARK G HEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-7765
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-7765
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
51205
TN
Other
Enumeration date
04/23/2010
Last updated
03/15/2017
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