Organization
FIRST FAMILY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARBURY FNP (OWNER)
(731) 925-8955
Entity
Organization
Contact information
Practice address
1960 PICKWICK ST, SAVANNAH, TN 38372-5309
(731) 925-8955
Mailing address
1960 PICKWICK ST, SAVANNAH, TN 38372-5309
(731) 925-8955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000006809
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
05/05/2008
Last updated
05/05/2008
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