Organization
IMPACT PHYSICIAN GROUP, TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MILLER CFO (CFO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
1240 S GERMANTOWN RD, GERMANTOWN, TN 38138-2226
(901) 275-3300
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(789) 675-5599
(678) 603-9843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/27/2025
Last updated
07/28/2025
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