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Individual

NICOLE V SALLOUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
391 WALLACE RD, NASHVILLE, TN 37211-4851
(615) 781-4000
Mailing address
391 WALLACE RD, NASHVILLE, TN 37211-4851
(615) 781-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43426
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514726
TN
01
4298140
BCBST
TN
05
7100149640
KY
Enumeration date
01/04/2007
Last updated
08/05/2011
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