Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 054959 | GA |
N | 208600000X | Surgeon | 054959 | GA |
N | 208200000X | Surgeon | MD44816 | TN |
N | 208600000X | Surgeon | MD44816 | TN |
N | 2086S0102X | Surgical Critical Care | 44816 | TN |
Y | 2086S0127X | Trauma Surgeon | MD44816 | TN |
NPI | 1174676076 |
---|---|
Provider Name | Dr. Raeanna C. Adams |
First Address | Nashville, TN 37212-2717 |
Second Address | Nashville, TN 37212-2717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 19/10/2020 |