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NPI 1104829340 · live from the CMS NPI Registry

Jackson Daniel Cothren, MD

Obstetrics & Gynecology, Gynecology in Nashville, TN. National Provider Identifier 1104829340, active.

NPI record

NPI1104829340 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Gynecology 207VG0400X
Practice location2201 Murphy Ave Ste 407, Nashville, TN 37203
Practice phone615-815-2350
Mailing address3024 Business Park Cir, Goodlettsville, TN 37072
EnumeratedMay 23, 2005
Last updatedMarch 22, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Gynecology primary207VG0400XMD6483 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.