Provider Demographics
NPI:1164844593
Name:NASHVILLE INSTITUTE OF HEPATOLOGY & GASTROENTEROLOGY PLLC
Entity Type:Organization
Organization Name:NASHVILLE INSTITUTE OF HEPATOLOGY & GASTROENTEROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-832-5530
Mailing Address - Street 1:350 WALLACE RD
Mailing Address - Street 2:STE 103
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4883
Mailing Address - Country:US
Mailing Address - Phone:615-832-5530
Mailing Address - Fax:615-832-5713
Practice Address - Street 1:350 WALLACE RD
Practice Address - Street 2:STE 103
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4883
Practice Address - Country:US
Practice Address - Phone:615-832-5530
Practice Address - Fax:615-832-5713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD16892207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty