Individual
NEFETERIA COFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 DR. D.B. TODD, JR. BOULEVARD, NASHVILLE, TN 37208
(615) 327-6782
(615) 327-6131
Mailing address
2915 MIKE SHIELDS CT, NASHVILLE, TN 37218-2344
(615) 876-9238
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301116384
MI
Other
Enumeration date
08/28/2016
Last updated
09/03/2019
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