Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 21535 | TN |
NPI | 1124029699 |
---|---|
Provider Name | Paul A Abbey |
First Address | Hermitage, TN 37076-2066 |
Second Address | Hermitage, TN 37076-2066 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 22/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3062926 | (05) | TN |
4209236 | BCBS (01) | TN |
B97688 | (02) |