The Village Doctor, LLC
General Practice in Germantown, TN. Organization (NPI-2).
NPI number1790764579
StatusActive
Last updated in NPPESDec 7, 2007
Details
- NPI
- 1790764579
- Entity type
- Organization (NPI-2)
- Legal business name
- The Village Doctor, LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2006
- Last updated
- Dec 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | TN | Yes |
Practice location
7820 Walking Horse CirGermantown, TN 38138-2100
Phone 901-752-2500
Mailing address
Po Box 341861Bartlett, TN 38184-1861
Phone 901-291-2400
Authorized official
Francis J Fenaughty
President
9017522500
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