Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 63266 | TN |
NPI | 1003303330 |
---|---|
Provider Name | Dr. Jerry C Chih |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-3049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2018 |
Last Update Date | 15/07/2021 |