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Dr. Luther Wayne Capooth, MD
Adult Day Care Clinic/Center in Germantown, Tennessee
NPI 1144526542

Luther Wayne Capooth is an Adult Day Care Clinic/Center based in Germantown, TN and is specialized in Adult Day Care. Luther Wayne Capooth practices in Germantown, TN and has the professional credentials of MD. The NPI Number for Luther Wayne Capooth is 1144526542 and holds a License No. MD0000007608 (Tennessee).

The current practice location address for Luther Wayne Capooth is 1862 Brooksedge Dr, Germantown, TN and can be reached out via phone at 901-756-6510.

Location: 1862 Brooksedge Dr, Germantown, TN, 38138-2716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144526542
Provider Name
Luther Wayne Capooth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1862 Brooksedge Dr, Germantown, TN, 38138-2716
Phone Number
901-756-6510
Fax Number
Provider Enumeration Date
02/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1862 Brooksedge Dr
City
Germantown
State
Tennessee
Zip
38138-2716
Phone Number
901-756-6510
Fax Number
person
Provider Business Mailing Address Details
Address
1862 Brooksedge Dr
City
Germantown
State
Tennessee
Zip
38138-2716
Phone Number
901-756-6510
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
MD0000007608 (Tennessee)
Definition
Definition to come...
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