Individual
VIRGINIA LEON DEBERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 WALKAWAY CT, CLARKSVILLE, TN 37043-6741
(931) 450-8484
Mailing address
403 WALKAWAY CT, CLARKSVILLE, TN 37043-6741
(931) 450-8484
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
207Q00000X
Family Medicine Physician
Primary
178.361
ZZ
Other
Enumeration date
05/24/2016
Last updated
12/21/2016
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