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NPI Code Detail

MEDICARE: PIERRE DUNEM

MEDICARE:   PIERRE  DUNEM
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
1171W00000XContractor000883794TN

General Provider Information

NPI Number : 1326588237
Entity Type Code : Individual
Provider Name (Legal Business Name) : PIERRE DUNEM
Provider Business Mailing Address
First Line : 4610 PLAZA HILLS LN
Second Line : A3
City : HIXSON
State : TN
Zip : 37343-4749
Country : US
Telephone Number : 678-306-6357
Fax Number : 423-352-7165
Provider Business Practice Location Address
First Line : 4610 PLAZA HILLS LN
Second Line : A3
City : HIXSON
State : TN
Zip : 37343-4749
Country : US
Telephone Number : 678-306-6357
Fax Number : 423-352-7165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2017
Last Update Date : 02/27/2017

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Directions to “ PIERRE DUNEM ” Practice Location

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