Organization
FAMILY MEDICINE PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDEL DELEON MAKAPUGAY M.D. (M.D.)
(901) 850-9900
Entity
Organization
Contact information
Practice address
2028 W POPLAR AVE STE 111, COLLIERVILLE, TN 38017-0618
(901) 850-9900
(901) 853-2706
Mailing address
2028 W POPLAR AVE STE 111, COLLIERVILLE, TN 38017-0618
(901) 850-9900
(901) 853-2706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000021004
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3121215
BCBST-PIN #
TN
Enumeration date
05/11/2006
Last updated
10/07/2023
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