Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 61410 | TN |
NPI | 1013371855 |
---|---|
Provider Name | Nicholas Wittig |
First Address | Nashville, TN 37203-1458 |
Second Address | Nashville, TN 37203-1458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2016 |
Last Update Date | 30/07/2020 |