Individual
DR. LUTHER WAYNE CAPOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1862 BROOKSEDGE DR, GERMANTOWN, TN 38138-2716
(901) 756-6510
Mailing address
1862 BROOKSEDGE DR, GERMANTOWN, TN 38138-2716
(901) 756-6510
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
MD0000007608
TN
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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