Organization
JOHAN VAN JAARSVELD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHAN VAN JAARSVELD M.D. (OWNER)
(615) 834-9781
Entity
Organization
Contact information
Practice address
397 WALLACE RD, SUITE 415, NASHVILLE, TN 37211-4854
(615) 834-9781
(615) 834-0864
Mailing address
397 WALLACE RD, SUITE 415, NASHVILLE, TN 37211-4854
(615) 834-9781
(615) 834-0864
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
52609
TN
207RP1001X
Pulmonary Disease Physician
Primary
52609
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396024980
PERSONAL NPI
—
Enumeration date
12/07/2015
Last updated
12/07/2015
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