Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 56432 | TN |
NPI | 1245527506 |
---|---|
Provider Name | Dr. Todd A Rubin |
First Address | Fortson, GA 31808-0370 |
Second Address | Nashville, TN 37203-1558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2011 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q030440 | (05) | TN |