Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 3923 | TN |
N | 207RP1001X | Pulmonary Disease | 34.012380 | OH |
Y | 207RP1001X | Pulmonary Disease | 3923 | TN |
NPI | 1063830826 |
---|---|
Provider Name | Rachel Guthrie Samuel |
First Address | Knoxville, TN 37919-3606 |
Second Address | Knoxville, TN 37919-4832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2014 |
Last Update Date | 16/08/2021 |