Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 48076 | TN |
N | 2084N0400X | Neurologist | A94501 | CA |
NPI | 1013195452 |
---|---|
Provider Name | Dr. Norman Lin Mcnulty |
First Address | Lawrenceburg, TN 38464-0248 |
Second Address | Lawrenceburg, TN 38464-4061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2008 |
Last Update Date | 10/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1527695 | (05) | TN |
4327130 | BCBS TN (01) | TN |
89037343 | BCBS AL (01) | AL |