# MVAG, INC

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

## Provider details

- **NPI number:** 1396022463
- **Authorized official:** GREGORY NATHAN LAURENCE M.D. (OWNER)
- **Authorized official phone:** (901) 752-4999

## Contact information

- **Practice address:** 7485 POPLAR PIKE, GERMANTOWN, TN 38138-5934
- **Practice address phone:** (901) 752-4999
- **Practice address fax:** (901) 752-3761
- **Mailing address:** 7485 POPLAR PIKE, GERMANTOWN, TN 38138-5934
- **Mailing address phone:** (901) 752-4999
- **Mailing address fax:** (901) 752-3761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000025017 | TN | Yes |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 11/03/2011