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Individual

MR. CHILANGO MULAISHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5653 FRIST BLVD, HERMITAGE, TN 37076-2062
(615) 467-0206
(615) 467-0702
Mailing address
5653 FRIST BLVD, SUITE 330, HERMITAGE, TN 37076-2062
(615) 467-0206
(615) 467-0702

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31252
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3843512
TN
Enumeration date
04/25/2006
Last updated
07/20/2010
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