Willis Family Medical Center, P.c.

NPI 1558616532 - Family Medicine - 207Q00000X

NPI Details
NPI 1558616532
Enumeration Date 07/17/2012
Last Updated 07/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANDREA ANDREA
Position OWNER
Phone (615) 316-5662
Fax (615) 316-5666
Practice Location
3441 LEBANON PIKE STE 101
HERMITAGE TN, 37076-2000, US
Phone (615) 316-5662
Fax (615) 316-5666
Business Location
3441 LEBANON PIKE STE 101
HERMITAGE TN, 37076-2000, US
Phone (615) 316-5662
Fax (615) 316-5666
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD0000030394
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According to our database, Willis Family Medical Center, P.c. NPI is 1558616532, taxonomy code is 207Q00000X and license number is MD0000030394, license state is located at Tennessee. Willis Family Medical Center, P.c. physically located at 3441 Lebanon Pike Ste 101, Hermitage TN, 37076-2000. NPI Number 1033115704 has the healthcare provider type.

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1558616532 NPI number is provided on an as is basis without warranty of any kind. 1558616532 is maintained by the National Plan & Provider Enumeration System. The contents of Willis Family Medical Center, P.c. are for informational purposes only.