Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 39708 | TN |
Y | 208600000X | Surgeon | 39708 | TN |
N | 208200000X | Surgeon | 39708 | TN |
N | 208600000X | Surgeon | 39708 | TN |
N | 2086S0105X | Surgery of the Hand | 39708 | TN |
NPI | 1477647220 |
---|---|
Provider Name | Dr. Wesley Paul Thayer |
First Address | Nashville, TN 37232-2345 |
Second Address | Nashville, TN 37232-2345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 19/10/2020 |