Mountain View Medical Moonlight PLLC
Family Medicine in Woodbury, TN. Organization (NPI-2).
NPI number1104783752
StatusActive
Last updated in NPPESJan 6, 2026
Details
- NPI
- 1104783752
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain View Medical Moonlight PLLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2026
- Certification date
- Jan 6, 2026
- Last updated
- Jan 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
370 Doolittle Rd Ste 1Woodbury, TN 37190-1129
Phone 615-603-7445
Mailing address
370 Doolittle Rd Ste 1Woodbury, TN 37190-1129
Phone 615-603-7445
Authorized official
Lori Carver
Manager
6156037445
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