Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD38440 | TN |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 38440 | TN |
NPI | 1235238858 |
---|---|
Provider Name | David A Pearce |
First Address | Jackson, TN 38305-2070 |
Second Address | Jackson, TN 38305-2070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 02/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3893139 | (05) | TN |
H34917 | (02) | TN |