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 |