Organization
COLLIERVILLE FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOWMYA BRAHMADEVI M.D. (OWNER)
(901) 457-7060
Entity
Organization
Contact information
Practice address
1500 W POPLAR AVE, SUITE 310, COLLIERVILLE, TN 38017-0601
(901) 457-7060
(901) 457-7062
Mailing address
1500 W POPLAR AVE, SUITE 310, COLLIERVILLE, TN 38017-0601
(901) 457-7060
(901) 457-7062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
11/26/2013
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