Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 1852 | TN |
NPI | 1275651499 |
---|---|
Provider Name | Dr. John W Simpson |
First Address | Nashville, TN 37212-3652 |
Second Address | Nashville, TN 37214-3325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/07/2007 |