IndividualActive
Fasika Gebremariam, CERTIFICATE
NPI 1336499698 · Radiologic Technologist · Antioch, TN
Provider details
- NPI number
- 1336499698
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CERTIFICATE
- Sex
- Male
- Sole proprietor
- No
- License
- 478337 (TN)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
4248 October Woods Dr
Antioch, TN 37013-4876
Phone: (615) 815-7892
Approximate (ZIP-level) locationGet directions
Mailing address
4248 October Woods Dr
Antioch, TN 37013-4876
Registry dates
- Enumerated
- 2012-09-14
- Last updated
- 2012-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.