Organization
DEJO VIPRAKASIT, MD PC
Active
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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