Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 22810 | TN |
NPI | 1003330390 |
---|---|
Provider Name | Anne Claire Oakes |
First Address | Pleasant View, TN 37146-3723 |
Second Address | Pleasant View, TN 37146-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2017 |
Last Update Date | 28/07/2017 |