Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | Q8913 | TX |
Y | 207PP0204X | Pediatric Emergency Physician | 58915 | TN |
NPI | 1588906978 |
---|---|
Provider Name | Whitney Irwin Buss |
First Address | Chattanooga, TN 37409-1635 |
Second Address | Chattanooga, TN 37403-1405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2013 |
Last Update Date | 05/10/2021 |