Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 8097 | TN |
NPI | 1659308187 |
---|---|
Provider Name | Billy S Arant JR. |
First Address | Chattanooga, TN 37401-2231 |
Second Address | Chattanooga, TN 37403-3316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 26/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B20940 | (02) | TN |