Individual
NICHOLAS ALEXANDER TSAMBASSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 DEAN DRIVE, CLARKSVILLE, TN 37040-3981
(931) 906-9473
(931) 906-9477
Mailing address
127 DEAN DRIVE, CLARKSVILLE, TN 37040-3981
(931) 906-9473
(931) 906-9477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-019687
TN
3336C0002X
Clinic Pharmacy
MD-019687
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I118390
PTAN LOCAL PART B
TN
Enumeration date
09/13/2006
Last updated
03/22/2018
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