Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | MD27661 | TN |
Y | 2084N0402X | Child Neurologist | MD27661 | TN |
NPI | 1205928611 |
---|---|
Provider Name | Jesus Eric Pina-Garza |
First Address | Nashville, TN 37203-1534 |
Second Address | Nashville, TN 37203-1534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 31/01/2022 |