Organization
SPEIGHT FAMILY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA KIMBERLIN SPEIGHT FNP (OWNER/FNP)
(901) 840-2102
Entity
Organization
Contact information
Practice address
76 TABB DR, SUITE E, MUNFORD, TN 38058-8611
(901) 840-2102
(901) 840-1979
Mailing address
76 TABB DR, SUITE E, MUNFORD, TN 38058-8611
(901) 840-2102
(901) 840-1979
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6874
TN
363LF0000X
Family Nurse Practitioner
6874
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509248
—
TN
01
—
1679630891
NPI
TN
01
—
1770531766
NPI
TN
05
—
5442117
—
TN
Enumeration date
11/19/2007
Last updated
03/06/2017
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