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Individual

EMMA GRZYMKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2717
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5100
TN
363AS0400X
Surgical Physician Assistant
Primary
5100
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5100
PHYSICIAN ASSISTANT LICENSE
TN
Enumeration date
08/24/2022
Last updated
05/26/2023
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