Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 58720 | TN |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 58720 | TN |
NPI | 1154768091 |
---|---|
Provider Name | Paul D Crook |
First Address | Nashville, TN 37204-3708 |
Second Address | Nashville, TN 37209-2682 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2013 |
Last Update Date | 30/08/2019 |