Provider Demographics
NPI:1376662718
Name:PRITCHETT, NANCY (ERIN) GAW (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY (ERIN)
Middle Name:GAW
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:GAW
Other - Last Name:PRITCHETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 41865
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-1865
Mailing Address - Country:US
Mailing Address - Phone:615-771-9820
Mailing Address - Fax:615-771-9303
Practice Address - Street 1:1909 MALLORY LN STE 301
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2843
Practice Address - Country:US
Practice Address - Phone:615-771-9820
Practice Address - Fax:615-771-9303
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28668207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG85943Medicare UPIN
TN3723225Medicare ID - Type Unspecified