Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 021342 | TN |
NPI | 1063418622 |
---|---|
Provider Name | Dr. Samuel M Currin |
First Address | Chattanooga, TN 37404-1177 |
Second Address | Chattanooga, TN 37404-1177 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 27/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E86186 | (02) | TN |