Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 3301 | TN |
Y | 213ES0000X | Sports Medicine | 3301 | TN |
NPI | 1285663716 |
---|---|
Provider Name | Mrs. Melanie S. Hintemeyer |
First Address | Murfreesboro, TN 37130-2324 |
Second Address | Murfreesboro, TN 37130-2324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2007 |