Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | PA0000003565 | TN |
NPI | 1003307422 |
---|---|
Provider Name | Dakotah Asher |
First Address | Knoxville, TN 37912-2745 |
Second Address | Knoxville, TN 37938-3358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2018 |
Last Update Date | 30/10/2020 |