Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 019029706 | IL |
N | 122300000X | Dentist | 2015007462 | MO |
Y | 1223E0200X | Endodontist | 11266 | TN |
NPI | 1124441969 |
---|---|
Provider Name | Dr. Eva Qi Xiong |
First Address | Nashville, TN 37211-6739 |
Second Address | Nashville, TN 37211-6739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2014 |
Last Update Date | 09/03/2021 |