Doctor Name: | DR. ABDELMADJID GUERRAH |
NPI Number: | 1447439369 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD0000042852 |
Business Practice Address: | 11437 Milton Wilson Road Didd West Tennessee Regional Office Arlington, TN - 38002 |
Business Phone Number: | 9017457871 |
Business Fax Number: | 9017457379 |
Mailing Address: | 11437 Milton Wilson Road Po Box 949, ARLINGTON |
State: | TN |
Postal Code: | 38002 |
Phone Number: | 9017457871 |
Fax Number: | 9017457379 |
NPI Enumeration Date: | 10/27/2007 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD0000042852 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |