Provider Demographics
NPI:1790775179
Name:COKER, WESLEY L (MD)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:L
Last Name:COKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1321 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2626
Mailing Address - Country:US
Mailing Address - Phone:615-366-8890
Mailing Address - Fax:615-366-3379
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-342-6300
Practice Address - Fax:615-342-6350
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8735207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2008038OtherBCBS OF TN
TN2008038OtherBCBS
TN3172504Medicaid
TN3172504Medicaid
TN3172504Medicare PIN
TN200022369Medicare PIN
TN0922510001Medicare PIN