Provider Demographics
NPI:1851353981
Name:PERDUE, PHILIP WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:WAYNE
Last Name:PERDUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SURGERY SERVICE, B311H
Mailing Address - Street 2:1310 24TH AVE. SOUTH
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212
Mailing Address - Country:US
Mailing Address - Phone:615-873-7218
Mailing Address - Fax:
Practice Address - Street 1:SURGERY SERVICE, B311H
Practice Address - Street 2:1310 24TH AVE. SOUTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212
Practice Address - Country:US
Practice Address - Phone:615-873-7218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK169962086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery