Doctor Name: | MR. TAMIM A ALSAEDI |
NPI Number: | 1013286889 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0010-03220 |
Business Practice Address: | 923 West 3rd St. Pembroke, NC - 28372 |
Business Phone Number: | 9105228888 |
Business Fax Number: | |
Mailing Address: | 923 W 3rd St, PEMBROKE |
State: | NC |
Postal Code: | 283729684 |
Phone Number: | 9105228888 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2011 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-03220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |