Michael Leonard Olivier
Pediatrician General Practice Physician
3790 Cumberland Lakes Dr
Monterey
, Tennessee 38574-7155
Michael Leonard Olivier
Pediatrician General Practice Physician
3790 Cumberland Lakes Dr
Monterey
, Tennessee 38574-7155
(605) 255-4687
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About
Features
Specialties
- Pediatrician
- General Practice Physician
Languages spoken
- English
Location
First Address
- Michael Leonard Olivier
- 3790 Cumberland Lakes Dr
- Monterey, TN
- Zip : 38574-7155
- Fax : (605) 255-4687
- Phone : (605) 255-4101
Second Address
- Michael Leonard Olivier
- 3790 Cumberland Lakes Dr
- Monterey, TN
- Zip : 38574-7155
- Phone : (931) 200-4905
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 5809 | SD |
| Y | 208D00000X | General Practice Physician | 51982 | TN |
National Provider Identifier
| NPI | 1003981408 |
|---|---|
| Provider Name | Michael Leonard Olivier |
| First Address | Monterey, TN 38574-7155 |
| Second Address | Monterey, TN 38574-7155 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2006 |
| Last Update Date | 09/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H74471 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.