Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0000011215 | TN |
N | 207RG0100X | Gastroenterologist | MD60600917 | WA |
NPI | 1013983188 |
---|---|
Provider Name | Dr. Donald Franklin Mackler |
First Address | Chattanooga, TN 37404-1106 |
Second Address | Chattanooga, TN 37404-1106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 28/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00170475B | (05) | GA |
3388156 | (05) | TN |
B59328 | (02) | GA |
B59328 | (02) | TN |