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NPI Code Detail

MEDICARE: DR. ALYCIA NATASHA ANTOINE M.D.

MEDICARE: DR. ALYCIA NATASHA ANTOINE M.D.
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
1207R00000XInternal Medicine PhysicianME163746FL
2207R00000XInternal Medicine Physician25MA07948600NJ

General Provider Information

NPI Number : 1609882588
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALYCIA NATASHA ANTOINE M.D.
Provider Business Mailing Address
First Line : 3401 MALLORY LN STE 516
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2025
Country : US
Telephone Number : 615-695-2200
Fax Number : 615-873-6291
Provider Business Practice Location Address
First Line : 3401 MALLORY LN STE 516
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2025
Country : US
Telephone Number : 615-695-2200
Fax Number : 615-873-6291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 03/04/2026

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