Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 053135 | GA |
N | 207X00000X | Orthopaedic Surgeon | 41881 | TN |
N | 207XS0106X | Orthopaedic Hand Surgeon | 053135 | GA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 41881 | TN |
NPI | 1063525665 |
---|---|
Provider Name | Dr. Thomas T Dovan |
First Address | Nashville, TN 37203 |
Second Address | Nashville, TN 37203-2689 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
863047310A | (05) | GA |
H65259 | (02) |