Provider Demographics
NPI:1679511554
Name:MCPHERSON, JOHN ADDISON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ADDISON
Last Name:MCPHERSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1215-21ST AVE, SOUTH, MCE
Mailing Address - Street 2:SUITE #5209
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8802
Mailing Address - Country:US
Mailing Address - Phone:615-322-2318
Mailing Address - Fax:615-936-7372
Practice Address - Street 1:1215-21ST AVE, SOUTH, MCE
Practice Address - Street 2:SUITE #5209
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8802
Practice Address - Country:US
Practice Address - Phone:615-322-2318
Practice Address - Fax:615-936-7372
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2020-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN33884207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG94522Medicare UPIN