Individual
EDWARD O OSUIGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2400 PATTERSON ST, SUITE 319, NASHVILLE, TN 37203-1562
(615) 986-1256
(615) 383-0853
Mailing address
PO BOX 210127, NASHVILLE, TN 37221-0127
(615) 986-1256
(615) 383-0853
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA0000001206
TN
363AS0400X
Surgical Physician Assistant
Primary
1206
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3665092
—
TN
Enumeration date
01/08/2007
Last updated
01/22/2015
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