Organization
MILLENNIA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE WILLIS FNP (OWNER/PARTNER)
(731) 249-9777
Entity
Organization
Contact information
Practice address
864 W CHURCH ST STE A, LEXINGTON, TN 38351-1744
(731) 249-9777
(731) 249-5011
Mailing address
864 W CHURCH ST STE A, LEXINGTON, TN 38351-1744
(731) 249-9777
(731) 249-5011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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