Provider Demographics
NPI:1164460200
Name:DAY, ANTHONY A (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:A
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 RECOVERY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4874
Mailing Address - Country:US
Mailing Address - Phone:615-781-4431
Mailing Address - Fax:615-781-4432
Practice Address - Street 1:510 RECOVERY RD STE 201
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4874
Practice Address - Country:US
Practice Address - Phone:615-781-4431
Practice Address - Fax:615-781-4432
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN69571207Q00000X
IA36721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0491852Medicaid
IAH23299Medicare UPIN
IA0491852Medicaid