Methodist Specialty Physician, V, LLC
NPI #1861655599 in Somerville, Tennessee
Provider Information
- NPI Number
- 1861655599
- Entity Type
- Organization
- Organization Name
- Methodist Specialty Physician, V, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 2, 2008
- Last Updated
- Aug 20, 2008
Practice Location
- Address
- 214 LAKEVIEW RD
- City
- Somerville
- State
- Tennessee
- ZIP Code
- 38068-9737
- Phone
- (901) 465-3604
Authorized Official
- Name
- KAY H SCOTT
- Title
- DIRECTOR OF PRACTICE DEVELOPMENT
- Phone
- (901) 516-0843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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