Healthcare Provider Details

I. General information

NPI: 1215117759
Provider Name (Legal Business Name): DR. SAID ATTOUSSI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

476 HARDING PL
NASHVILLE TN
37211-4512
US

IV. Provider business mailing address

476 HARDING PL
NASHVILLE TN
37211-4512
US

V. Phone/Fax

Practice location:
  • Phone: 615-315-8717
  • Fax: 615-315-8714
Mailing address:
  • Phone: 615-315-8717
  • Fax: 615-315-8714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number30658
License Number StateTN

VIII. Authorized Official

Name: SAID ATTOUSSI
Title or Position: PRESIDENT
Credential:
Phone: 615-315-8717