Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 59399 | TN |
NPI | 1174866719 |
---|---|
Provider Name | Mr. Ryan Hale Belcher |
First Address | Nashville, TN 37204-3002 |
Second Address | Nashville, TN 37232-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2013 |
Last Update Date | 15/10/2020 |