Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 57471 | TN |
N | 2084N0400X | Neurologist | MD452314 | PA |
Y | 2084N0600X | Clinical Neurophysiologist | 57471 | TN |
NPI | 1619297082 |
---|---|
Provider Name | Shawniqua Williams Roberson |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2010 |
Last Update Date | 08/07/2021 |