Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 42432 | TN |
NPI | 1124222963 |
---|---|
Provider Name | Allison M Eaton |
First Address | Knoxville, TN 37920-1527 |
Second Address | Knoxville, TN 37920-1527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 15/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3000367 | (05) | TN |