Individual
SAMUEL TEKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4124 PINEORCHARD PL, ANTIOCH, TN 37013-2200
(615) 397-2906
Mailing address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
245703
TN
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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