Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 072367 | GA |
NPI | 1720314248 |
---|---|
Provider Name | Dr. Agne Naujokas |
First Address | Brentwood, TN 37027-7541 |
Second Address | Brentwood, TN 37027-7541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2009 |
Last Update Date | 12/01/2021 |