Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD0000018431 | TN |
N | 207QS0010X | Family Doctor - Sports Medicine | 0000018431 | TN |
Y | 207V00000X | Obstetrician & Gynecologist | MD0000018431 | TN |
N | 207VG0400X | Gynecologist | 0000018431 | TN |
N | 208D00000X | General Practice Physician | 0000018431 | TN |
NPI | 1093742132 |
---|---|
Provider Name | Dr. Harry Allie Zain |
First Address | Morristown, TN 37813 |
Second Address | Morristown, TN 37813-3871 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 28/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
62-1754883 | TAX ID (01) | TN |