Individual
NII SABAN QUAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
519 ENON SPRINGS RD E, SMYRNA, TN 37167-4446
(615) 355-1994
(615) 355-1846
Mailing address
519 ENON SPRINGS RD E, SMYRNA, TN 37167-4446
(615) 355-1994
(615) 355-1846
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD10850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3184831
—
TN
01
—
621131838
TAX IDENTIFICATION NUMBER
TN
Enumeration date
11/29/2006
Last updated
02/06/2012
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