Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25983 | TN |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25983 | TN |
NPI | 1346212602 |
---|---|
Provider Name | Dr. Robert Marshall Dimick |
First Address | Nashville, TN 37217 |
Second Address | Hermitage, TN 37076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 08/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3085662 | (05) | TN |
3143916 | BCBS (01) | TN |
4079243 | BCBS (01) | TN |
C72172 | (02) |