Individual
MR. SIOELI FIATAU FUIMAONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2400 PATTERSON ST, SUITE 319, NASHVILLE, TN 37203-1562
(615) 986-1256
(615) 383-0873
Mailing address
2400 PATTERSON ST, SUITE 319, NASHVILLE, TN 37203-1562
(615) 986-1256
(615) 383-0873
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1326
TN
363AS0400X
Surgical Physician Assistant
Primary
1326
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060214
—
TN
01
—
4116189
BCBS
TN
Enumeration date
03/08/2006
Last updated
03/29/2017
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