Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | MD35556 | TN |
Y | 207VG0400X | Gynecologist | MD35556 | TN |
NPI | 1386637619 |
---|---|
Provider Name | Norman A Assad |
First Address | Mountain Home, TN 37684-0699 |
Second Address | Johnson City, TN 37604-3799 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 25/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E70018 | (02) |