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Individual

DR. NIR SHIMONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(570) 271-5662
(570) 214-1888
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD464037
PA
207T00000X
Neurological Surgery Physician
Primary
MD65163
TN
207T00000X
Neurological Surgery Physician
TRN23300
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q074850
TN
Enumeration date
01/19/2017
Last updated
07/19/2022
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