| Nii Saban Quao Md Pc | |
|
519 Enon Springs Rd E Smyrna TN 37167-4446 | |
| (615) 355-1994 | |
| (615) 355-1846 |
| Full Name | Nii Saban Quao Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 519 Enon Springs Rd E, Smyrna, Tennessee |
| Authorized Official Name and Position | Nii Saban Quao (PRESIDENT) |
| Authorized Official Contact | 6153551994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nii Saban Quao Md Pc 519 Enon Springs Rd E Smyrna TN 37167-4446 Ph: (615) 355-1994 | Nii Saban Quao Md Pc 519 Enon Springs Rd E Smyrna TN 37167-4446 Ph: (615) 355-1994 |
| NPI Number | 1376818724 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376818724 | NPI | - | NPPES |
| 3184831 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Tennessee) | Primary |
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