NICHOLAS TANNENBAUM

FORT LIBERTY, NC
NPI1013584382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: NC  2024-01464)
Additional Taxonomies207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: GA  12918)
Enumeration Date2021-06-07
Last Update Date2024-06-29
Business Address
NICHOLAS TANNENBAUM
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310-0004
Phone number: 910-907-8922
Mailing Address
NICHOLAS TANNENBAUM
1186 GEORGE W CRAWFORD DR
AUGUSTA, GA 30909-0082
Phone number: 630-487-0407