Provider Demographics
NPI:1508250572
Name:COZART, MICHAEL CHAD (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHAD
Last Name:COZART
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE STE G30
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2541
Mailing Address - Country:US
Mailing Address - Phone:615-234-6390
Mailing Address - Fax:615-234-6393
Practice Address - Street 1:3443 DICKERSON PIKE STE G30
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2541
Practice Address - Country:US
Practice Address - Phone:615-234-6390
Practice Address - Fax:615-234-6393
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-26
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3523207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine