Provider Demographics
NPI:1174558571
Name:HARROM, DAVID L (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:HARROM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:STE 380
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-860-2221
Mailing Address - Fax:615-860-9560
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:STE 380
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-860-2221
Practice Address - Fax:615-860-9560
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN23975207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN147708OtherBCBS
TN3071467Medicaid
TN147708OtherBCBS
TN3071467Medicaid