Provider Demographics
NPI:1265680102
Name:MEHARRY MEDICAL COLLEGE
Entity Type:Organization
Organization Name:MEHARRY MEDICAL COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:TROCHTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-327-6611
Mailing Address - Street 1:1005 DR DB TODD, JR BLVD
Mailing Address - Street 2:MEHARRY MEDICAL COLLEGE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208
Mailing Address - Country:US
Mailing Address - Phone:615-327-6611
Mailing Address - Fax:615-327-6417
Practice Address - Street 1:1005 DR DB TODD, JR BLVD
Practice Address - Street 2:MEHARRY MEDICAL COLLEGE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208
Practice Address - Country:US
Practice Address - Phone:615-327-6611
Practice Address - Fax:615-327-6417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty