# MEMORIAL DRIVE FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154318954
- **Authorized official:** STEPHAN SCHOTT D.O. (PHYSICIAN)
- **Authorized official phone:** (931) 648-1920

## Contact information

- **Practice address:** 306 LANDRUM PL, CLARKSVILLE, TN 37043-4648
- **Practice address phone:** (931) 648-1920
- **Practice address fax:** (931) 503-0346
- **Mailing address:** PO BOX 3857, CLARKSVILLE, TN 37043-0857
- **Mailing address phone:** (931) 648-1920
- **Mailing address fax:** (931) 503-0346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0769 | TN | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 01/17/2008