Provider Demographics
NPI:1437185519
Name:TOWNS, MYRON BUMSTEAD II (MD)
Entity Type:Individual
Prefix:MR
First Name:MYRON
Middle Name:BUMSTEAD
Last Name:TOWNS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:M.
Other - Middle Name:B
Other - Last Name:TOWNS
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 331164
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:615-973-2933
Mailing Address - Fax:615-322-5491
Practice Address - Street 1:971 16TH AVE N
Practice Address - Street 2:BOX 331164 ZIP 37203
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3368
Practice Address - Country:US
Practice Address - Phone:615-973-2933
Practice Address - Fax:615-322-5491
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-3624207ZP0102X
TNMD0117362083P0901X
PAMD052362-L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Not Answered2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3182613Medicaid
C67818Medicare UPIN
TN3182613Medicare ID - Type UnspecifiedCIGNA
TN3182613Medicaid