Provider Demographics
NPI:1407090236
Name:DONOVAN, SEAN T (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:T
Last Name:DONOVAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:STE. 680
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-865-3322
Mailing Address - Fax:615-467-6692
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:STE. 680
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-865-3322
Practice Address - Fax:615-467-6692
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2015-02-27
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Provider Licenses
StateLicense IDTaxonomies
TN50388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ001269Medicaid
TN103I119322Medicare PIN