Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | R2286 | KY |
N | 208600000X | Surgeon | R2286 | KY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 52471 | TN |
NPI | 1134354822 |
---|---|
Provider Name | Dr. Henry F Todd III |
First Address | Nashville, TN 37203-6532 |
Second Address | Nashville, TN 37203-6532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2009 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
52471 | LICENSE (01) | TN |
FT2462771 | DEA (01) | KY |
FT5510638 | DEA (01) | TN |
Q027782 | (05) | TN |
R2286 | LICENSE (01) | KY |