Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 1257 | TN |
NPI | 1235528027 |
---|---|
Provider Name | Jeffrey Barnes |
First Address | Spring Hill, TN 37174-7521 |
Second Address | Spring Hill, TN 37174-7521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2015 |
Last Update Date | 15/01/2015 |