Provider Demographics
NPI:1124065420
Name:MCCORD, DAVID HUGHES (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HUGHES
Last Name:MCCORD
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 1:229 POTEAT PL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2041
Mailing Address - Country:US
Mailing Address - Phone:615-330-0509
Mailing Address - Fax:
Practice Address - Street 1:229 POTEAT PL
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2041
Practice Address - Country:US
Practice Address - Phone:615-330-0509
Practice Address - Fax:615-321-0604
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000021573174400000X, 207XS0117X
TNMD215732083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No174400000XOther Service ProvidersSpecialist
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3060393Medicaid
TN3060393Medicaid
TNC78352Medicare UPIN