Doctor Name: | DR. FREDERICK MICHAEL ISAACSON |
NPI Number: | 1376634048 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 29053 |
Business Practice Address: | 1451 Green Hill Blvd Brentwood, TN - 370277492 |
Business Phone Number: | 6155870845 |
Business Fax Number: | |
Mailing Address: | 1451 Green Hill Blvd, BRENTWOOD |
State: | TN |
Postal Code: | 370277492 |
Phone Number: | 6155870845 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 29053 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |