Individual
FELICITO E FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 25TH ST NW, CLEVELAND, TN 37311-3838
(423) 479-9733
(423) 472-1890
Mailing address
435 25TH ST NW, CLEVELAND, TN 37311-3838
(423) 479-9733
(423) 472-1890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD021401
TN
Other
Enumeration date
07/05/2005
Last updated
08/18/2011
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