Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 8862 | TN |
Y | 213EG0000X | General Practice | 8862 | TN |
NPI | 1003078486 |
---|---|
Provider Name | Dr. Micheal Tate Eble |
First Address | Franklin, TN 37067-3061 |
Second Address | Franklin, TN 37067-3061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 11/04/2012 |