institution
Vivian Family Medical Llc
Medical Physician Assistant in Cookeville, Tennessee
NPI 1568457851

Vivian Family Medical Llc is a Medical Physician Assistant based in Cookeville, TN and is specialized in Medical. Vivian Family Medical Llc practices in Cookeville, TN. The NPI Number for Vivian Family Medical Llc is 1568457851 and holds a License No. P0770 (Tennessee).

The current practice location address for Vivian Family Medical Llc is 675 S Jefferson Ave, Cookeville, TN and can be reached out via phone at 931-520-0148 and via fax at 931-520-0152.

Location: 675 S Jefferson Ave, Cookeville, TN, 38501-0949
institution
Provider Profile Details
NPI Number
1568457851
Provider Name
Vivian Family Medical Llc
Credential
Provider Entity Type
Organization
Address
675 S Jefferson Ave, Cookeville, TN, 38501-0949
Phone Number
931-520-0148
Fax Number
931-520-0152
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
675 S Jefferson Ave
City
State
Zip
38501-0949
Phone Number
931-520-0148
Fax Number
931-520-0152
person
Provider Business Mailing Address Details
Address
675 S Jefferson Ave
City
State
Zip
38501-0949
Phone Number
931-520-0148
Fax Number
931-520-0152
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
P0770 (Tennessee)
Definition
Definition to come...
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