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Contact Information

HEATHER M RIETZ, MD
5301 VIRGINIA WAY
STE 300
BRENTWOOD, TN37027-7541
 Phone: 615-221-4474
 Fax: 615-234-3774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for HEATHER M RIETZ · (Female)

NPI # 1215028899
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 05/16/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 36151
  • TN License # 34155
  • AL Medicaid 009964100
  • GA Medicaid 629419657A
  • KY Medicaid 64028533
  • NC Medicaid 5902767
  • TN Medicaid 3852383
  • GA Other 10057952 AMERIGROUP MEDICAID GACMO
  • GA Other 335777 WELLCARE GA MEDICAID CMO
  • TN Other 3150369 BLUE CROSS
  • TN Other 100033069 PHP TENNCARE
  • TN Other 000000016015 TLC TENNCARE
  • TN Other 119451 UNISONTENNCARE
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    6019 WALNUT GROVE ROAD
    MEMPHIS, TN 38120
  • BAPTIST MEMORIAL HOSPITAL TIPTON - (Acute Care)
    1995 HIGHWAY 51 S
    COVINGTON, TN 38019
  • CAPE FEAR VALLEY MEDICAL CENTER - (Acute Care)
    1638 OWEN DRIVE P O BOX 2000
    FAYETTEVILLE, NC 28302
  • CENTENNIAL MEDICAL CENTER - (Acute Care)
    2300 PATTERSON STREET
    NASHVILLE, TN 37203
  • SKYRIDGE MEDICAL CENTER - (Acute Care)
    2305 CHAMBLISS AVE NW
    CLEVELAND, TN 37311
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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