Provider Demographics
NPI:1770596538
Name:MCCAFFERTY, LINDA R (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:R
Last Name:MCCAFFERTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 GREAT CIRCLE RD.
Mailing Address - Street 2:STE. 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228
Mailing Address - Country:US
Mailing Address - Phone:615-565-6368
Mailing Address - Fax:615-222-7237
Practice Address - Street 1:1015 N. HIGHLAND
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-865-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18017207R00000X, 1744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No1744R1102XOther Service ProvidersSpecialistResearch Study
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4236130OtherBCBS
TN1042821OtherCOVENTRY
TN1129723OtherUSA PROVIDER NETWORK
TNE54884OtherHEALTHSPRING
TN3027559Medicare ID - Type Unspecified
TNE54884OtherHEALTHSPRING