Individual
ANNA SZCZUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2855
(615) 441-4460
(615) 446-1357
Mailing address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2855
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD30040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3820937
—
TN
01
—
4109217
BLUE CROSS BLUE SHIELD TN
TN
01
—
P00304441
RAILROAD MEDICARE PIN
—
Enumeration date
07/27/2005
Last updated
11/04/2009
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