Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 60975 | TN |
N | 111NI0900X | Internist | 60975 | TN |
Y | 207SG0201X | Clinical Genetics (M.D.) | 60975 | TN |
N | 208000000X | Pediatrician | 60975 | TN |
NPI | 1063850907 |
---|---|
Provider Name | Dr. Angela Rose Grochowsky |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 15/10/2020 |