Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 59969 | TN |
NPI | 1104211077 |
---|---|
Provider Name | Katherine Chaves |
First Address | Nashville, TN 37232-0005 |
Second Address | Nashville, TN 37232-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 09/08/2021 |