Individual
FADY ADEL HENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1128 N CASTLE HEIGHTS AVE, LEBANON, TN 37087-5640
(423) 352-4381
Mailing address
PO BOX 306244, NASHVILLE, TN 37230-6244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6502
TN
Other
Enumeration date
04/08/2025
Last updated
04/10/2025
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