Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 7829 | TN |
Y | 207VX0201X | Gynecologic Oncologist | MD000007829 | TN |
NPI | 1518981562 |
---|---|
Provider Name | Dr. Thomas Edmonds Morgan |
First Address | Knoxville, TN 37916-1853 |
Second Address | Knoxville, TN 37916-1853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 24/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3196014 | (05) | TN |
B60453 | (02) | |
B60453 | (02) | TN |