Individual
EWA ANTONCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
647 DUNLOP LN, SUITE 108, CLARKSVILLE, TN 37040-5165
(931) 502-3660
Mailing address
647 DUNLOP LN, SUITE 108, CLARKSVILLE, TN 37040-5165
(931) 502-3660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46834
TN
207R00000X
Internal Medicine Physician
MD2005-0482
NM
207R00000X
Internal Medicine Physician
ME93992
FL
Other
Enumeration date
05/23/2006
Last updated
09/17/2020
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