Provider Demographics
NPI:1720466741
Name:NEBLETT, DAVID WALLACE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WALLACE
Last Name:NEBLETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6746 CHARLOTTE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4204
Mailing Address - Country:US
Mailing Address - Phone:629-203-7585
Mailing Address - Fax:629-203-7857
Practice Address - Street 1:6746 CHARLOTTE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4204
Practice Address - Country:US
Practice Address - Phone:629-203-7585
Practice Address - Fax:629-203-7857
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2021-11-05
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Provider Licenses
StateLicense IDTaxonomies
TN581322080S0010X, 207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
Yes2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine