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Individual
DR. PERICLIS ROUSSIS
Active
Individual
DR. PERICLIS ROUSSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD18681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3033722
—
TN
01
—
4061072
BCBS
TN
Enumeration date
06/14/2005
Last updated
04/26/2017
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