Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD48754 | TN |
N | 207RH0003X | Hematology & Oncology | 48754 | TN |
NPI | 1376679860 |
---|---|
Provider Name | Dr. Jeremy Lyle Warner |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-6307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 21/10/2020 |