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Organization

SIMON H TESFAU MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMON H TESFAU MD (OWNER/PRESIDENT)
(347) 879-2645
Entity
Organization

Contact information

Practice address
1390 RESERVE DR, APT 104, CORDOVA, TN 38016-6300
(347) 879-2645
Mailing address
1390 RESERVE DR, APT 104, CORDOVA, TN 38016-6300
(347) 879-2645

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41174
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41174
MD LICENSE
TN
Enumeration date
09/04/2008
Last updated
09/09/2008
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