Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 48636 | TN |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 48636 | TN |
NPI | 1013131747 |
---|---|
Provider Name | David Griffin Brown |
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 | 12/04/2007 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4327731 | BCBS TN (01) | TN |
9794901 | AETNA (01) | TN |