Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 23862TN | TN |
NPI | 1255492948 |
---|---|
Provider Name | Dr. Caroline Chester |
First Address | Goodlettsville, TN 37072-3132 |
Second Address | Nashville, TN 37203-1885 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 10/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3376386 | (05) | TN |
6057014 | BLUE CROSS BLUE SHIELD (01) | TN |
F39025 | (02) | TN |
Q019273 | (05) | TN |