Mantle, Sarah Marshall

Mantle, Sarah Marshall is an individual health care provider with primary practice located at 200 Gleaves St Suite A, Madison TN 37115-2154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mantle, Sarah Marshall can be contacted via phone (615) 851-7865.

Contact Information

Primary practice address
200 Gleaves St Suite A Madison TN 37115-2154
Phone: (615) 851-7865
Fax: (615) 851-7853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45131 Tennessee

Profile Details

NPI number 1407903362
LBN Legal business name Mantle, Sarah Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Feb 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407903362 NPPES
Tennessee MEDICAID 1514044

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