Organization
NII SABAN QUAO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NII SABAN QUAO MD (PRESIDENT)
(615) 355-1994
Entity
Organization
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
261QP2300X
Primary Care Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3184831
—
TN
Enumeration date
03/19/2012
Last updated
07/21/2022
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