Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 50674 | TN |
NPI | 1124345574 |
---|---|
Provider Name | Dr. William Gourdin Mcmaster JR. |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 29/07/2021 |