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NPI Code Detail

MEDICARE: BRIAN NATHAN SARAPIN P.A.

MEDICARE:   BRIAN NATHAN SARAPIN  P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA0000001134TN

General Provider Information

NPI Number : 1184694689
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN NATHAN SARAPIN P.A.
Provider Business Mailing Address
First Line : 1701 N MAIN ST
Second Line : SUITE D
City : SHELBYVILLE
State : TN
Zip : 37160-2303
Country : US
Telephone Number : 931-685-4060
Fax Number : 961-685-4062
Provider Business Practice Location Address
First Line : 1701 N MAIN ST
Second Line : SUITE D
City : SHELBYVILLE
State : TN
Zip : 37160-2303
Country : US
Telephone Number : 931-685-4060
Fax Number : 961-685-4062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 07/08/2007

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Directions to “ BRIAN NATHAN SARAPIN P.A.” Practice Location

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