Provider Demographics
NPI:1558386771
Name:OLIVIER, ANDRE C (MD)
Entity Type:Individual
Prefix:
First Name:ANDRE
Middle Name:C
Last Name:OLIVIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-7260
Mailing Address - Fax:615-284-7501
Practice Address - Street 1:100 PHYSICIANS WAY
Practice Address - Street 2:SUITE 300
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090
Practice Address - Country:US
Practice Address - Phone:615-449-6868
Practice Address - Fax:615-449-7184
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN44486207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1515048Medicaid
TN6011918OtherBCBS
TNP00760809OtherRR MEDICARE
TNP00760809OtherRR MEDICARE
C81819Medicare UPIN