Provider Demographics
NPI:1689764383
Name:SACKS, SUZANNE BROWN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:BROWN
Last Name:SACKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:B
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1215 21ST AVE S
Mailing Address - Street 2:SUITE 5209 MEDICAL CENTER EAST, SOUTH TOWER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8802
Mailing Address - Country:US
Mailing Address - Phone:615-343-3735
Mailing Address - Fax:615-343-4841
Practice Address - Street 1:1215 21ST AVE S
Practice Address - Street 2:SUITE 5209 MEDICAL CENTER EAST, SOUTH TOWER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8802
Practice Address - Country:US
Practice Address - Phone:615-343-3735
Practice Address - Fax:615-343-4841
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08003300207RC0000X
TNMD50920207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease