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Individual

NICHOLAS ALEXANDER TSAMBASSIS

Active
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Individual

NICHOLAS ALEXANDER TSAMBASSIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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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