Provider Demographics
NPI:1124318563
Name:SAVELL, VERNON DAVID JR (MD)
Entity type:Individual
Prefix:DR
First Name:VERNON
Middle Name:DAVID
Last Name:SAVELL
Suffix:JR
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 1:832 PEBBLE COVE RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-1004
Mailing Address - Country:US
Mailing Address - Phone:615-752-8287
Mailing Address - Fax:
Practice Address - Street 1:832 PEBBLE COVE RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-1004
Practice Address - Country:US
Practice Address - Phone:615-752-8287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS08420208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSM08420OtherMSBML