Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 53425 | TN |
NPI | 1275522534 |
---|---|
Provider Name | Barbara J Solomon |
First Address | Nashville, TN 37232-9001 |
Second Address | Nashville, TN 37232-9001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273444300 | (05) | FL |
855791942A | (05) | GA |
H63740 | (02) | FL |