Individual
HENRY NUBUNG ENYENIHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11121 HIGHWAY 70, SUITE 101, ARLINGTON, TN 38002-9230
(901) 867-0211
(901) 867-0759
Mailing address
11121 HIGHWAY 70 STE 101, ARLINGTON, TN 38002-9230
(901) 867-0211
(901) 867-0759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29373
TN
208M00000X
Hospitalist Physician
29373
TN
208M00000X
Hospitalist Physician
A50281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3842358
—
TN
01
—
4126386
BLUE CROSS BLUE SHIELD OF TN
TN
Enumeration date
05/23/2005
Last updated
12/04/2012
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