Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 24327 | TN |
Y | 207PE0004X | Emergency Medical Services | 24327 | TN |
N | 207R00000X | Internist | 24327 | TN |
N | 111NI0900X | Internist | 24327 | TN |
NPI | 1194701391 |
---|---|
Provider Name | John R Pinkston |
First Address | Gallatin, TN 37066-8080 |
Second Address | Gallatin, TN 37066-2400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2005 |
Last Update Date | 23/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G49963 | (02) |