Tedder, Mark

Tedder, Mark is an individual health care provider with primary practice located at 4230 Harding Pike Suite 430, Nashville TN 37205-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Tedder, Mark can be contacted via phone (615) 385-4781.

Contact Information

Primary practice address
4230 Harding Pike Suite 430 Nashville TN 37205-2013
Phone: (615) 385-4781
Fax: (615) 385-9265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD029206 Tennessee

Profile Details

NPI number 1073516340
LBN Legal business name Tedder, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 16th, 2019 - about 6 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 1073516340 NPPES
Tennessee Other 4334022 BCBST
Tennessee Other P01004440 BCBST
Tennessee MEDICAID 3812958 BCBST
Tennessee Other 0995624 BCBST
Tennessee Other 1840022 BCBST
Tennessee Other 01616927 BCBST
Tennessee Other 5463506 BCBST
Tennessee Other 8773249003 BCBST
Tennessee Other 8773249004 BCBST

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