Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD0000044616 | TN |
N | 208200000X | Surgeon | MD0000044616 | TN |
N | 208600000X | Surgeon | MD0000044616 | TN |
NPI | 1043253537 |
---|---|
Provider Name | Dr. Douglas Alan Hale |
First Address | Nashville, TN 37232-4750 |
Second Address | Nashville, TN 37232-4750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2750082-00 | (05) | FL |
633286092A | (05) | GA |
I70668 | (02) | FL |