Individual
PHILIP W NANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1323 EAST WOOD STREET, PARIS, TN 38242-4421
(731) 642-2011
(731) 644-2758
Mailing address
1323 EAST WOOD STREET, PARIS, TN 38242-4421
(731) 642-2011
(731) 644-2758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD32004
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18069
—
TN
Enumeration date
10/02/2006
Last updated
07/09/2007
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