Provider Demographics
NPI:1548439847
Name:CAROLINE H. CHESTER, M.D., PC
Entity type:Organization
Organization Name:CAROLINE H. CHESTER, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:615-320-3773
Mailing Address - Street 1:2201 MURPHY AVE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1835
Mailing Address - Country:US
Mailing Address - Phone:615-320-3773
Mailing Address - Fax:615-320-9815
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:SUITE 403
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-320-3773
Practice Address - Fax:615-320-9815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN238622086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4030878OtherBCBSTN
TN4030878OtherBCBSTN
F39025Medicare UPIN