West Tennessee Physical Medicine, Pllc

NPI 1083963946 - General Practice - 208D00000X

NPI Details
NPI 1083963946
Enumeration Date 09/06/2012
Last Updated 09/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name STEPHEN DUSTIN STEPHEN
Position OWNER
Phone (731) 644-9000
Fax (731) 644-9006
Practice Location
1024 MINERAL WELLS AVENUE
PARIS TN, 38242, US
Phone (731) 644-9000
Fax (731) 644-9006
Business Location
1024 MINERAL WELLS AVENUE
PARIS TN, 38242, US
Phone (731) 644-9000
Fax (731) 644-9006
Toxanomy
Taxonomy Code 208D00000X
License State Tennessee
License Number 0000027058
Remove 1083963946 NPI Number
 

According to our database, West Tennessee Physical Medicine, Pllc NPI is 1083963946, taxonomy code is 208D00000X and license number is 0000027058, license state is located at Tennessee. West Tennessee Physical Medicine, Pllc physically located at 1024 Mineral Wells Avenue, Paris TN, 38242. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083963946 NPI number is provided on an as is basis without warranty of any kind. 1083963946 is maintained by the National Plan & Provider Enumeration System. The contents of West Tennessee Physical Medicine, Pllc are for informational purposes only.