Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2142 | TN |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 2142 | TN |
NPI | 1265560437 |
---|---|
Provider Name | John Stephen Corns |
First Address | Knoxville, TN 37901-5010 |
Second Address | Knoxville, TN 37916-2301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 08/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1518163 | (05) | TN |