Provider Demographics
NPI:1952703951
Name:JOHN W MACEY, JR., M.D., PLLC
Entity Type:Organization
Organization Name:JOHN W MACEY, JR., M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MACEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:615-397-4337
Mailing Address - Street 1:2201 MURPHY AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1883
Mailing Address - Country:US
Mailing Address - Phone:615-730-8674
Mailing Address - Fax:615-866-9684
Practice Address - Street 1:2201 MURPHY AVE STE 307
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1883
Practice Address - Country:US
Practice Address - Phone:615-730-8674
Practice Address - Fax:615-866-9684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD20572207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty