Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0204X | Pediatric Emergency Doctor | 8356596-1205 | UT |
Y | 2080P0204X | Pediatric Emergency Doctor | MD0000053462 | TN |
NPI | 1275777526 |
---|---|
Provider Name | Haley Marie Polhill |
First Address | Nashville, TN 37203 |
Second Address | Nashville, TN 37203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2009 |
Last Update Date | 23/01/2020 |