Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 46647 | TN |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD46647 | TN |
NPI | 1386848869 |
---|---|
Provider Name | William Chase Corn |
First Address | Nashville, TN 37204-3708 |
Second Address | Nashville, TN 37205-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 29/07/2019 |