Provider Demographics
NPI:1851564827
Name:ROACH, ALAN EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:EDWARD
Last Name:ROACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:740 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6448
Mailing Address - Country:US
Mailing Address - Phone:615-550-4030
Mailing Address - Fax:615-550-4040
Practice Address - Street 1:5505 EDMONDSON PIKE
Practice Address - Street 2:SUITE 104
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5872
Practice Address - Country:US
Practice Address - Phone:615-331-5898
Practice Address - Fax:615-331-5705
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2014-06-10
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Provider Licenses
StateLicense IDTaxonomies
TN47080208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics