Organization
PRIME OBSTETRICS & GYNECOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFAM C IKEJIANI M.D. (PHYSICIAN)
(615) 459-5228
Entity
Organization
Contact information
Practice address
301 WOLVERINE TRL, SUITE 200, SMYRNA, TN 37167-5656
(615) 459-5228
(615) 459-5370
Mailing address
PO BOX 305, SMYRNA, TN 37167-0305
(615) 459-5228
(615) 459-5370
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD26182
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087682
—
TN
Enumeration date
02/27/2007
Last updated
08/22/2020
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