Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 7971 | TN |
NPI | 1114181807 |
---|---|
Provider Name | Dr. Gerald Clay Sparrow |
First Address | Nashville, TN 37215 |
Second Address | Nashville, TN 37215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2008 |
Last Update Date | 27/07/2011 |