# ANGELA WILLIS FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1891151981
- **Authorized official:** DR. ANGELA L WILLIS MD (OWNER)
- **Authorized official phone:** (615) 316-5662

## Contact information

- **Practice address:** 3441 LEBANON PIKE, SUITE 101, HERMITAGE, TN 37076-2097
- **Practice address phone:** (615) 316-5662
- **Mailing address:** 3441 LEBANON PIKE, SUITE 101, HERMITAGE, TN 37076-2097
- **Mailing address phone:** (615) 316-5662

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2016
- **Last updated:** 01/06/2016