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Individual

MR. JOHN W INTERLANDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 CENTRAL PIKE STE 555, HERMITAGE, TN 37076
(615) 874-9667
(615) 871-9682
Mailing address
53 CENTURY BLVD STE 120, NASHVILLE, TN 37214-3693
(615) 346-6213
(615) 346-6225

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
12079
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3186316
TN
01
6060183
BLUE CROSS BLUE SHIELD
TN
05
Q019961
TN
Enumeration date
09/14/2005
Last updated
05/14/2019
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