Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD15413 | TN |
N | 207VX0000X | Obstetrician | MD15413 | TN |
NPI | 1093866733 |
---|---|
Provider Name | Mrs. Barbara Ann Duncan-Cody |
First Address | Memphis, TN 38105-4805 |
Second Address | Memphis, TN 38105-4805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 25/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3705708 | (02) | TN |
A97210 | (02) | TN |