Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0216X | Pediatric Rheumatologist | L9642 | TX |
Y | 2080P0216X | Pediatric Rheumatologist | MD52168 | TN |
NPI | 1629287065 |
---|---|
Provider Name | Dr. Alisa Carman Gotte |
First Address | Nashville, TN 37232-5100 |
Second Address | Nashville, TN 37232-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 15/10/2020 |