Organization
AVE MARIA MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY U EFOBI M.D. (OWNER)
(615) 443-2544
Entity
Organization
Contact information
Practice address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 443-2544
(615) 443-2548
Mailing address
PO BOX 570, LEBANON, TN 37088-0570
(615) 443-2544
(615) 443-2548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000040753
TN
2084N0400X
Neurology Physician
MD0000040524
TN
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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