Provider Demographics
NPI:1154391852
Name:SPOTTSWOOD, STEPHANIE E (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:E
Last Name:SPOTTSWOOD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2200 CHILDRENS WAY
Mailing Address - Street 2:STE 1418
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-9700
Mailing Address - Country:US
Mailing Address - Phone:615-936-4943
Mailing Address - Fax:615-936-4949
Practice Address - Street 1:2200 CHILDRENS WAY
Practice Address - Street 2:STE 1418
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9700
Practice Address - Country:US
Practice Address - Phone:615-936-4943
Practice Address - Fax:615-936-4949
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2013-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD195582085R0202X, 2085P0229X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E92215Medicare UPIN