Individual
DR. JONATHAN M HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
985 INDUSTRIAL BLVD, SMYRNA, TN 37167-6815
(615) 984-1000
(615) 984-1005
Mailing address
985 INDUSTRIAL BLVD, SMYRNA, TN 37167-6815
(615) 984-1000
(615) 984-1005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200400509
NC
207Q00000X
Family Medicine Physician
Primary
36634
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992780696
—
IA
01
—
P00314288
RAILROAD MEDICARE NONBILL
IA
Enumeration date
12/14/2005
Last updated
12/08/2021
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