Individual
GREG THOMAS CISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
227 N. HALL RD, ALCOA, TN 37701-2538
(865) 982-2463
(865) 982-5331
Mailing address
227 N. HALL RD, ALCOA, TN 37701-2538
(865) 982-2463
(865) 982-5331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9014
TN
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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