Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 59975 | TN |
Y | 208600000X | Surgeon | 59975 | TN |
N | 2086S0102X | Surgical Critical Care | 59975 | TN |
N | 2086S0127X | Trauma Surgeon | 59975 | TN |
NPI | 1316380744 |
---|---|
Provider Name | Dr. Davis Pappandreou Berry |
First Address | Nashville, TN 37241-8182 |
Second Address | Knoxville, TN 37920-1537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2013 |
Last Update Date | 20/06/2021 |