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Individual

DR. STEPHEN J D'AMICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4200 MURFREESBORO PIKE, ANTIOCH, TN 37013-2789
(615) 771-9958
(855) 229-1374
Mailing address
6688 NOLENSVILLE RD, SUITE 108-159, BRENTWOOD, TN 37027-8833
(615) 771-9958
(855) 229-1374

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD018500
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3704341
TN
Enumeration date
06/14/2006
Last updated
02/08/2016
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