Angela Willis Family Practice PLLC
Family Medicine in Hermitage, TN. Organization (NPI-2).
NPI number1891151981
StatusActive
Last updated in NPPESJan 6, 2016
Details
- NPI
- 1891151981
- Entity type
- Organization (NPI-2)
- Legal business name
- Angela Willis Family Practice PLLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2016
- Last updated
- Jan 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | TN | Yes |
Practice location
3441 Lebanon PikeSuite 101
Hermitage, TN 37076-2097
Phone 615-316-5662
Mailing address
3441 Lebanon PikeSuite 101
Hermitage, TN 37076-2097
Phone 615-316-5662
Authorized official
Angela L Willis
Owner
6153165662
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