FAUSTA DITAH

CLARKSVILLE, TN
NPI1063675692
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine Gastroenterology
(Licence: TN  MD50497)
Enumeration Date2008-07-03
Last Update Date2022-05-15
Business Address
DR. FAUSTA DITAH
647 DUNLOP LN STE 210
CLARKSVILLE, TN 37040-5165
Phone number: 931-502-3810
Mailing Address
DR. FAUSTA DITAH
1137 ARCHIBALD DR
CLARKSVILLE, TN 37040-2212
Phone number: 734-709-8776
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