Organization
FRANCIS J. FENAUGHTY MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS J FENAUGHTY MD (PRESIDENT)
(901) 516-6970
Entity
Organization
Contact information
Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-6970
Mailing address
PO BOX 342409, BARTLETT, TN 38184-2409
(901) 291-2400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3373930
—
TN
01
—
DC5959
RR MEDICARE PTAN
TN
Enumeration date
08/16/2005
Last updated
07/21/2022
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