Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2011-01280 | NC |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD53328 | TN |
Y | 207YP0228X | Pediatric Otolaryngology | MD53328 | TN |
NPI | 1750438628 |
---|---|
Provider Name | Amy S. Whigham |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5918051 | (05) | NC |
Q017953 | (05) | TN |