Provider Demographics
NPI:1659990851
Name:CORTY, ROBERT WALLACE (MD,PHD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:WALLACE
Last Name:CORTY
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR SUITE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-5356
Mailing Address - Country:US
Mailing Address - Phone:615-322-1900
Mailing Address - Fax:615-343-3813
Practice Address - Street 1:1301 MEDICAL CENTER DR STE 2501
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-5356
Practice Address - Country:US
Practice Address - Phone:615-322-1900
Practice Address - Fax:615-343-3813
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN66504207R00000X, 246ZG1000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No246ZG1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGeneticist, Medical (PhD)