Organization
FAMILY PHYSICIANS OF ESTILL SPRINGS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER JAMES BOYANTON III MD (PRESIDENT)
(931) 649-5139
Entity
Organization
Contact information
Practice address
300 S. MAIN ST., ESTILL SPRINGS, TN 37330
(931) 649-5139
(931) 649-2766
Mailing address
300 S. MAIN ST., P.O. BOX 700, ESTILL SPRINGS, TN 37330
(931) 649-5139
(931) 649-2766
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
17539
TN
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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