Organization
DEJO VIPRAKASIT, MD PC
Active
Other names
Dejo Viprakasit, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERESA M. BLANKENSHIP (OFFICE MANAGER)
(901) 476-1135
Entity
Organization
Contact information
Practice address
1995 HIGHWAY 51 SOUTH, SUITE 104, COVINGTON, TN 38019-3635
(901) 476-1135
(901) 476-1136
Mailing address
1995 HIGHWAY 51 SOUTH, SUITE 104, COVINGTON, TN 38019-3635
(901) 476-1135
(901) 476-1136
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
08/14/2007
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