Individual
MATTHEW CZIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1855 TANNER WAY STE 220, HARRIMAN, TN 37748-8331
(865) 882-2442
Mailing address
1855 TANNER WAY STE 220, HARRIMAN, TN 37748-8331
(865) 882-2442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2015018128
MO
208600000X
Surgery Physician
Primary
63544
TN
208600000X
Surgery Physician
RL14191
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q066716
—
TN
Enumeration date
06/22/2015
Last updated
07/19/2021
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