| NPI | 1831229475 |
|---|---|
| Former Legal Business Name | GERMANTOWN FAMILY PRACTICE, PC |
| Entity Type | Organization |
| Authorized Contact | MARC J. CRUPIE President 901-507-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN MD15815) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-01-15 |