Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 0000019193 | TN |
NPI | 1023172608 |
---|---|
Provider Name | Dr. Thomas Curtis Namey |
First Address | Knoxville, TN 37920 |
Second Address | Knoxville, TN 37920-1618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C01935 | (02) | TN |