Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 11149 | TN |
N | 111NI0900X | Internist | 11149 | TN |
Y | 207RP1001X | Pulmonary Disease | 11149 | TN |
N | 207RP1001X | Pulmonary Disease | 17683 | KY |
NPI | 1033156310 |
---|---|
Provider Name | Asa Clyde Heflin |
First Address | Nashville, TN 37205-2245 |
Second Address | Nashville, TN 37205-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 07/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01061845 | AMERIGROUP (01) | TN |
104700 | UNITED HEALTH CARE (01) | TN |
12541392 | MULTIPLAN/PHCS (01) | TN |
1507757 | (05) | TN |
2520154 | CIGNA (01) | TN |
290013538 | MEDICARE RR (01) | TN |
3164317 | BLUE CROSS OF TN (01) | TN |
4066749 | AETNA (01) | TN |
64771728 | (05) | KY |
8494444 | USO/MCO (01) | TN |
C46989 | (02) |