Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD38317 | TN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD38317 | TN |
NPI | 1588691083 |
---|---|
Provider Name | Andrew Brian Thomson |
First Address | Nashville, TN 37203-2021 |
Second Address | Nashville, TN 37203-2021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 16/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I37265 | (02) |