Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 47119 | TN |
NPI | 1003080615 |
---|---|
Provider Name | Dr. Andrew Buchman Nearn |
First Address | Memphis, TN 38104-5905 |
Second Address | Memphis, TN 38112-2903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 30/03/2015 |