Individual
DR. FAUSTA DITAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
647 DUNLOP LN STE 210, CLARKSVILLE, TN 37040-5165
(931) 502-3810
(931) 502-3815
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD50497
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005509
—
TN
Enumeration date
07/03/2008
Last updated
04/29/2026
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