Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 43281 | TN |
NPI | 1346270014 |
---|---|
Provider Name | Dr. Thomas M. Numnum |
First Address | Nashville, TN 37203-1534 |
Second Address | Nashville, TN 37203-1534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1505836 | (05) | TN |
4182312 | BCBS (01) | TN |