Goran Djordje Antic, MD
Emergency Medicine in Pulaski, TN. Individual provider (NPI-1).
NPI number1124074752
StatusActive
Last updated in NPPESNov 6, 2007
Details
- NPI
- 1124074752
- Entity type
- Individual (NPI-1)
- Name
- Goran Djordje Antic
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Last updated
- Nov 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 34506 | TN | Yes |
Practice location
1265 E College StPulaski, TN 38478-4541
Phone 931-363-7531 · Fax 865-291-3228
Mailing address
Po Box 636019Cincinnati, OH 45263-6019
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