Individual
DR. LIUSONG JASON FU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8130 COUNTRY VILLAGE DR, CORDOVA, TN 38016-2087
(901) 308-2915
(901) 308-2924
Mailing address
58 TIMBER CREEK DR, HEALTHQUEST, CORDOVA, TN 38018-4233
(901) 566-1002
(901) 566-1951
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46990
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04256723
—
MS
05
—
1527911
—
TN
Enumeration date
05/30/2008
Last updated
08/10/2020
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