Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 21128 | TN |
NPI | 1548227416 |
---|---|
Provider Name | Dr. John B. Wheelock |
First Address | Nashville, TN 37203-1534 |
Second Address | Nashville, TN 37203-1534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 17/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3058394 | (05) | TN |
E91618 | (02) | TN |