Individual
JULIAN VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 MARKET BLVD STE 101, COLLIERVILLE, TN 38017-6516
(901) 752-6963
(901) 737-3640
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2202
TN
Other
Enumeration date
08/25/2005
Last updated
10/25/2016
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