Provider Demographics
NPI:1285821934
Name:DAVID H. MCCORD, M.D., P.C.
Entity Type:Organization
Organization Name:DAVID H. MCCORD, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HUGHES
Authorized Official - Last Name:MCCORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-329-0333
Mailing Address - Street 1:PO BOX 331109
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7510
Mailing Address - Country:US
Mailing Address - Phone:615-329-0333
Mailing Address - Fax:615-321-0604
Practice Address - Street 1:1718 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2941
Practice Address - Country:US
Practice Address - Phone:615-329-0333
Practice Address - Fax:615-321-0604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000021573174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3060393Medicaid
TNC78352Medicare UPIN
TN3712133Medicare PIN