Organization
VANDEVEN PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE VANDEVEN (BUSINESS MANAGER)
(901) 552-9976
Entity
Organization
Contact information
Practice address
3000 GETWELL RD, MEMPHIS, TN 38118-2205
(901) 369-4949
Mailing address
96 PLANTATION WOODS CV, CORDOVA, TN 38018-7491
(901) 552-9976
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025678
—
TN
Enumeration date
01/18/2017
Last updated
06/22/2017
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