Tennessee Park, MD is a student in an organized health care education training program in Charlottesville, VA with 4 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tennessee Park, MD NPI is 1619504388. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2020
The provider's business location address is:
1215 LEE ST
MAIL STOP 800699
CHARLOTTESVILLE, VA
ZIP 22908-816
Phone: (434) 924-8485
Fax: (434) 982-4118
The NPI 1619504388 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/24/2020.