Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 64058 | TN |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 64058 | TN |
NPI | 1962858670 |
---|---|
Provider Name | Azlyn Goff |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-1530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2016 |
Last Update Date | 08/11/2021 |