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Individual
NICHOLAS HENRY TANNENBAUM
Active
Individual
NICHOLAS HENRY TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
12918
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2024-01464
NC
Other
Enumeration date
06/07/2021
Last updated
01/30/2026
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