Search › North Carolina › 207PE0004X
Nicholas Tannenbaum
NPI 1013584382 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310 - Phone
- (910) 907-8922
- Fax
- (910) 907-6069
- Clinicians at this address
- 812
Registry record
- Primary taxonomy
- 207PE0004X
207PE0004X
- Also registered as
- 207PE0004X
- Licence states on file
- GA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina