Individual
DR. NICHOLAS DANIEL HYSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 N DUNLAP ST G145, ULPS, MEMPHIS, TN 38103
(901) 287-5437
Mailing address
51 N DUNLAP ST G145, MEMPHIS, MS 38654
(731) 608-6160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
48992
TN
2080P0208X
Pediatric Infectious Diseases Physician
Primary
48992
TN
Other
Enumeration date
05/07/2010
Last updated
06/08/2016
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