Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 57494 | TN |
N | 207L00000X | Anesthesiologist | 9164175-1205 | UT |
NPI | 1003159666 |
---|---|
Provider Name | Michael Newman Singleton |
First Address | Nashville, TN 37204-3609 |
Second Address | Nashville, TN 37232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2013 |
Last Update Date | 09/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
57494 | TENNESSEE BOARD OF MEDICAL EXAMINERS (01) | TN |