Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | APN0000015694 | TN |
NPI | 1265730337 |
---|---|
Provider Name | Autumn Galbraith |
First Address | Knoxville, TN 37934-2806 |
Second Address | Knoxville, TN 37934-2806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2011 |
Last Update Date | 14/03/2011 |