Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 43438 | TN |
N | 207X00000X | Orthopaedic Surgeon | E-7706 | AR |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 43438 | TN |
N | 207XS0106X | Orthopaedic Hand Surgeon | E-7706 | AR |
NPI | 1063638104 |
---|---|
Provider Name | Daniel Truman Fletcher JR. |
First Address | Memphis, TN 38119-5742 |
Second Address | Memphis, TN 38120-4023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00171710 | (05) | MS |
0546047 | CIGNA (01) | TN |
110318002 | (05) | AR |
1507098 | (05) | TN |
3371161 | (05) | TN |
4174181 | BCBS (01) | TN |
620819926 | AETNA (01) | TN |
620819926 | BCBS (01) | MS |
620819926 | CIGNA (01) | TN |
620819926 | TRICARE (01) | TN |
7187860 | (05) | MS |
9119125 | AETNA (01) | TN |
P00624372 | RAILROAD MEDICARE (01) | TN |