Individual
HEBATALLA FAROUK ELMOTAYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9085 HIGHWAY 64, ARLINGTON, TN 38002-7981
(901) 382-1566
Mailing address
2566 VINTAGE DR # DR204, CORDOVA, TN 38016-7522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029351
TN
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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