Individual
OSAYANDE ABRAHAM OMOREGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3443 DICKERSON PIKE STE 730, NASHVILLE, TN 37207-2527
(615) 972-1100
(615) 537-4950
Mailing address
353 NEW SHACKLE ISLAND RD STE 148C, HENDERSONVILLE, TN 37075-2366
(615) 972-1100
(615) 537-4950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2646
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q016673
—
TN
Enumeration date
10/22/2014
Last updated
07/21/2021
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