Sewanee Family Practice Pllc

NPI #1063817625 in Sewanee, Tennessee

Provider Information

NPI Number: 1063817625
Entity Type: Organization
Organization Name: Sewanee Family Practice Pllc
Primary Specialty: Family Medicine
Enumeration Date: Oct 24, 2014
Last Updated: Oct 24, 2014

Practice Location

Address: 1314 UNIVERSITY AVE
City: Sewanee
State: Tennessee
ZIP Code: 37375-2336
Phone: (931) 598-5648

Authorized Official

Name: LOUIS E KOELLA, MD
Title: PRESIEDENT
Phone: (931) 598-5648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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