Moriba Magassouba PA-C

NPI 1629229737 - Physician Assistant - 363AM0700X

NPI Details
NPI 1629229737
Gender Male
Enumeration Date 10/07/2008
Last Updated 05/07/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
189 MOUNT PELIA RD
MARTIN TN, 38237, US
Phone (731) 986-2213
Fax (731) 986-0011
Business Location
PO BOX 525
HUNTINGDON TN, 38344-0525, US
Phone (731) 986-2213
Fax (731) 986-0011
Toxanomy
Taxonomy Code 363AM0700X
License State Maryland
License Number C0003821
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According to our database, Moriba Magassouba PA-C NPI is 1629229737, taxonomy code is 363AM0700X and license number is C0003821, license state is located at Maryland. Moriba Magassouba PA-C physically located at 189 Mount Pelia Rd, Martin TN, 38237. NPI Number Moriba Magassouba PA-C has the Individual type.

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1629229737 NPI number is provided on an as is basis without warranty of any kind. 1629229737 is maintained by the National Plan & Provider Enumeration System. The contents of Moriba Magassouba PA-C are for informational purposes only.