Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 47359 | TN |
NPI | 1013064831 |
---|---|
Provider Name | Charles Wright |
First Address | Nashville, TN 37203-7508 |
Second Address | Nashville, TN 37203-2663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 12/12/2019 |