Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DS3189 | TN |
NPI | 1497834204 |
---|---|
Provider Name | Dr. John Mcguire |
First Address | Knoxville, TN 37920-6325 |
Second Address | Morristown, TN 37814-4632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/07/2007 |