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NPI Code Detail

MEDICARE: MANUEL ADAM TZAGOURNIS

MEDICARE: MANUEL ADAM TZAGOURNIS
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
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse532735OH
2390200000XStudent in an Organized Health Care Education/Training Program
3163W00000XRegistered NurseRN.532735OH

General Provider Information

NPI Number : 1366941429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL ADAM TZAGOURNIS
Provider Business Mailing Address
First Line : 1577 NEIL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2320
Country : US
Telephone Number : 614-292-8900
Fax Number :
Provider Business Practice Location Address
First Line : 1577 NEIL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2320
Country : US
Telephone Number : 614-292-4041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2018
Last Update Date : 03/07/2025

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Directions to “ MANUEL ADAM TZAGOURNIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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