| Randy Villanueva Md Pc | |
|
3025 N Windstone Way Ln Germantown TN 38138-7383 | |
| (901) 590-0103 | |
| Not Available |
| Full Name | Randy Villanueva Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3025 N Windstone Way Ln, Germantown, Tennessee |
| Authorized Official Name and Position | Randy Joseph Lee Villanueva (OWNER/PRESIDENT) |
| Authorized Official Contact | 9015900103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Villanueva Md Pc 3025 N Windstone Way Ln Germantown TN 38138-7383 Ph: (901) 590-0103 | Randy Villanueva Md Pc 3025 N Windstone Way Ln Germantown TN 38138-7383 Ph: (901) 590-0103 |
| NPI Number | 1760630628 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760630628 | NPI | - | NPPES |
| 39777 | Other | TN | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39777 (Tennessee) | Primary |
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