Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD0000051640 | TN |
N | 111NI0900X | Internist | MD0000051640 | TN |
N | 207RC0200X | Critical Care Medicine | MD0000051640 | TN |
Y | 207RP1001X | Pulmonary Disease | MD0000051640 | TN |
NPI | 1063778231 |
---|---|
Provider Name | Justin Christopher Hewlett |
First Address | Nashville, TN 37212-3504 |
Second Address | Nashville, TN 37232-2650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 19/10/2020 |