Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD006846 | TN |
NPI | 1033214432 |
---|---|
Provider Name | Dr. Thomas Clayton Whitworth |
First Address | Nashville, TN 37236 |
Second Address | Nashville, TN 37236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
150480 | BCBST (01) | TN |
3161373 | (05) | TN |
B02876 | (02) | |
CSP671 | CIGNA (01) | TN |