Individual
MAREK KACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 HATCHER LN, COLUMBIA, TN 38401-3535
(931) 388-3209
(931) 388-0105
Mailing address
28 WHITE BRIDGE RD, STE. 300, NASHVILLE, TN 37205-1499
(615) 356-4111
(615) 356-8011
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
24672
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080396
—
TN
Enumeration date
08/17/2005
Last updated
02/04/2009
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