Provider Demographics
NPI:1699808782
Name:NELSON, DEBRA MITCHELL (MBBS, MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:MITCHELL
Last Name:NELSON
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Gender:F
Credentials:MBBS, MD
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Mailing Address - Street 1:201 SUMMIT VIEW DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4645
Mailing Address - Country:US
Mailing Address - Phone:615-377-7122
Mailing Address - Fax:615-263-1658
Practice Address - Street 1:201 SUMMIT VIEW DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4645
Practice Address - Country:US
Practice Address - Phone:615-377-7122
Practice Address - Fax:615-263-1658
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000037135207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G49873Medicare UPIN