Doctor Name: | ANTHONY D. KHIM |
NPI Number: | 1295736940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 28344 |
Business Practice Address: | 101 Berrywood Dr Columbia, TN - 384016409 |
Business Phone Number: | 9313812110 |
Business Fax Number: | 9313815178 |
Mailing Address: | 2701 Brenda St, THOMPSONS STATION |
State: | TN |
Postal Code: | 371799232 |
Phone Number: | 6155991647 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2005 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 28344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |