Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD49646 | TN |
N | 208600000X | Surgeon | MD49646 | TN |
Y | 2086S0129X | Vascular Surgeon | MD49646 | TN |
NPI | 1063671832 |
---|---|
Provider Name | Adam Alston Richter |
First Address | Nashville, TN 37214-3693 |
Second Address | Nashville, TN 37207-2519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 28/10/2020 |