Caudill, Max Tillman

Caudill, Max Tillman is an individual health care provider with primary practice located at 100 Covey Dr 105, Franklin TN 37067-5665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Caudill, Max Tillman can be contacted via phone (615) 794-2747.

Contact Information

Primary practice address
100 Covey Dr 105 Franklin TN 37067-5665
Phone: (615) 794-2747
Fax: (615) 591-0460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD0000025521 Tennessee

Profile Details

NPI number 1922196435
LBN Legal business name Caudill, Max Tillman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated May 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922196435 NPPES
Tennessee Other 6052882 BCBS TN
Tennessee MEDICAID Q017730 BCBS TN

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