Provider Demographics
NPI:1750522025
Name:BINFORD, JULIA SEWELL (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:SEWELL
Last Name:BINFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:555 CHURCH ST E
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4894
Mailing Address - Country:US
Mailing Address - Phone:615-221-1046
Mailing Address - Fax:615-221-1088
Practice Address - Street 1:2904 POLO CLUB RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-4342
Practice Address - Country:US
Practice Address - Phone:615-376-8819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD354562083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNBB4977623OtherDEA