Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 330 | TN |
N | 222Z00000X | Podiatrist | 330 | TN |
NPI | 1043212194 |
---|---|
Provider Name | Dr. James Wm. Pifer |
First Address | Hixson, TN 37343-2942 |
Second Address | Hixson, TN 37343-2942 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 08/07/2007 |