Organization
FAMILY DOCTORS-DOCTORES DE FAMILIA, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY MATTEWADA M.D. (CO-OWNER)
(901) 377-6805
Entity
Organization
Contact information
Practice address
3860 NEW COVINGTON PIKE, SUITE 101, MEMPHIS, TN 38128-2506
(901) 377-6805
(901) 377-6806
Mailing address
3860 NEW COVINGTON PIKE, SUITE101, MEMPHIS, TN 38128-2506
(901) 377-6805
(901) 377-6806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000040121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731181
—
TN
Enumeration date
05/12/2006
Last updated
08/24/2007
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