| Samuel L Harboldt, MD | |
|
5301 Virginia Way, Ste 300, Brentwood, TN 37027-7541 | |
| (615) 221-4474 | |
| (615) 234-3774 |
| Full Name | Samuel L Harboldt |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 5301 Virginia Way, Brentwood, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467553420 | NPI | - | NPPES |
| 000000013666 | Other | TN | TLC TENNCARE |
| 3101523 | Other | TN | BLUE CROSS |
| 3837708 | Medicaid | TN | |
| 119175 | Other | TN | UNISON TENNCARE |
| 64095235 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 30412 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel L Harboldt, MD 5301 Virginia Way, Ste 300, Brentwood, TN 37027-7541 Ph: (615) 221-4474 | Samuel L Harboldt, MD 5301 Virginia Way, Ste 300, Brentwood, TN 37027-7541 Ph: (615) 221-4474 |
Kathy Bruner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Kenneth S Piech, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Roy W. Kirchberg Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Lori D Emerson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-695-4977 | |
Ben W Davis, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Randall L Woodford, MD Pathology Medicare: Medicare Enrolled Practice Location: 5301 Virginia Way, 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Harry Karrick Daugherty Jr., MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 |