Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 42487 | TN |
NPI | 1033297429 |
---|---|
Provider Name | Dr. Hany Nimr Rezk |
First Address | Columbia, TN 38401-4659 |
Second Address | Columbia, TN 38401-4659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 16/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3000771 | (05) | TN |