Individual
MR. VIANNEY EPINA VILLARUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 LANTANA RD STE 202A, CROSSVILLE, TN 38555-1915
(931) 484-5141
(931) 484-5620
Mailing address
100 LANTANA RD, SUITE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(931) 484-5620
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD26952
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110189280
RAILROAD MEDICARE
—
05
—
3095256
—
TN
01
—
3126068
BLUE CROSS
TN
Enumeration date
08/14/2006
Last updated
06/23/2022
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