Provider Demographics
NPI:1326588237
Name:DUNEM, PIERRE
Entity Type:Individual
Prefix:
First Name:PIERRE
Middle Name:
Last Name:DUNEM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 PLAZA HILLS LN
Mailing Address - Street 2:A3
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4749
Mailing Address - Country:US
Mailing Address - Phone:678-306-6357
Mailing Address - Fax:423-352-7165
Practice Address - Street 1:4610 PLAZA HILLS LN
Practice Address - Street 2:A3
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4749
Practice Address - Country:US
Practice Address - Phone:678-306-6357
Practice Address - Fax:423-352-7165
Is Sole Proprietor?:No
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000883794171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor