Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | DO301 | TN |
NPI | 1215062559 |
---|---|
Provider Name | Dr. Dan Eugene Hale |
First Address | Knoxville, TN 37923-4552 |
Second Address | Knoxville, TN 37923-4552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
74217 | (02) | TN |