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Organization

DAHER ASTHMA AND ALLERGY CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NORA DAHER M.D. (OWNER)
(901) 203-6055
Entity
Organization

Contact information

Practice address
2136 EXETER RD STE 103, GERMANTOWN, TN 38138
(901) 203-6055
(901) 203-6056
Mailing address
2136 EXETER RD STE 103, GERMANTOWN, TN 38138-3935

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22346
LICENSE
MS
01
MD0000048282
LICENSE
TN
Enumeration date
05/30/2018
Last updated
05/31/2018
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