Provider Demographics
NPI:1487924866
Name:PUTMAN, JOHN SPRENG (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SPRENG
Last Name:PUTMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9511 CORONET LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8377
Mailing Address - Country:US
Mailing Address - Phone:615-465-8171
Mailing Address - Fax:
Practice Address - Street 1:9511 CORONET LN
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8377
Practice Address - Country:US
Practice Address - Phone:615-465-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 4880207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine