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Individual

MICHAEL ANTANAITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1501 12TH AVE S, NASHVILLE, TN 37203-4909
(615) 269-3461
Mailing address
909 HAVEN CREST DR, HERMITAGE, TN 37076-1020

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
48
TN

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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