Individual
MARKO OSSAMA GHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 ISABELLA LN, SMYRNA, TN 37167-4215
(615) 768-8021
Mailing address
2163 CAREFREE LN, ANTIOCH, TN 37013-3586
(615) 873-9893
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00961000
NJ
363A00000X
Physician Assistant
6435
TN
Other
Enumeration date
02/22/2025
Last updated
04/07/2026
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