Provider Demographics
NPI:1245673748
Name:ROUTH, MARGARET CHRISTINA (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:CHRISTINA
Last Name:ROUTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CHRISTINA
Other - Last Name:INMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3626 SHELBYVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-6382
Mailing Address - Country:US
Mailing Address - Phone:615-893-4480
Mailing Address - Fax:
Practice Address - Street 1:3626 SHELBYVILLE HWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127
Practice Address - Country:US
Practice Address - Phone:615-893-4480
Practice Address - Fax:615-895-6212
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TNMD57200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program