Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 9979 | TN |
NPI | 1164425302 |
---|---|
Provider Name | James F Daniell |
First Address | Nashville, TN 37244-0222 |
Second Address | Nashville, TN 37203-2041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B02867 | (02) | TN |