Individual
DR. PAUL J NINER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 W MAIN ST, HOHENWALD, TN 38462-1355
(931) 796-3245
(931) 796-2315
Mailing address
4126 CHANCELLOR DR, THOMPSONS STATION, TN 37179-5310
(615) 838-2566
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD19376
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3326242
—
TN
05
—
3326246
—
TN
Enumeration date
07/31/2006
Last updated
04/13/2012
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