Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD36840 | TN |
NPI | 1033189907 |
---|---|
Provider Name | Dr. Abby Charles Eblen |
First Address | Nashville, TN 37203-1513 |
Second Address | Nashville, TN 37203-1513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G33542 | (02) | TN |