Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 16326 | TN |
NPI | 1801994793 |
---|---|
Provider Name | Robert F Elder |
First Address | Nashville, TN 37244-0439 |
Second Address | Knoxville, TN 37920-1500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 01/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3043114 | (05) | TN |
A98913 | (02) |