Most Relevant Information
Provider Data
NPI Number: | 1003550930 |
Provider Name: | ROSS MACRAE MASTERS MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/26/2022 |
Last Updated: | 04/26/2022 |
Provider Practice Location
1601 23RD AVENUE SOUTH
TRAINING OFFICE, SUITE 3105 VPH
NASHVILLE
TN
372128645
Practice Location Phone/Fax
Phone: | 6153277119 |
Fax: | 6153277136 |
Provider Mailing Location
1601 23RD AVENUE SOUTH
TRAINING OFFICE, SUITE 3105 VPH
NASHVILLE
TN
372128645
Provider Mailing Phone/Fax
Phone: | 6153277119 |
Fax: | 6153277136 |