Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 51798 | TN |
NPI | 1063612323 |
---|---|
Provider Name | Dr. Michael Morgan Mcnally |
First Address | Nashville, TN 37244-0265 |
Second Address | Knoxville, TN 37920-2244 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 07/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q008412 | (05) | TN |