Vitality Mens Health And Wellness, Llc | |
6655 Poplar Ave Suite 204 Germantown TN 38138-3691 | |
(901) 751-4477 | |
(901) 751-4488 |
Full Name | Vitality Mens Health And Wellness, Llc |
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Speciality | Internal Medicine |
Location | 6655 Poplar Ave, Germantown, Tennessee |
Authorized Official Name and Position | Christy Long (CREDENTIALING) |
Authorized Official Contact | 9017371992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vitality Mens Health And Wellness, Llc 6655 Poplar Ave Suite 204 Germantown TN 38138-3691 Ph: (901) 751-4477 | Vitality Mens Health And Wellness, Llc 6655 Poplar Ave Suite 204 Germantown TN 38138-3691 Ph: (901) 751-4477 |
NPI Number | 1427331982 |
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Provider Enumeration Date | 09/21/2011 |
Last Update Date | 01/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427331982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 46215 (Tennessee) | Primary |
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