Individual
FETHI ABDULAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 NORTHCREST DR, SPRINGFIELD, TN 37172
(615) 382-0700
(615) 382-0790
Mailing address
5045 OLD HICKORY BLVD, SUITE 102, HERNITAGE, TN 37076
(615) 690-7029
(615) 690-7028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO13275
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251570527A
—
GA
Enumeration date
11/06/2006
Last updated
07/28/2008
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