Organization Name: | SPEIGHT FAMILY MEDICAL, LLC |
NPI Number: | 1083895023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEANNA KIMBERLIN SPEIGHT (OWNER/FNP) |
Mailing Address: | 76 Tabb Dr Suite E Munford |
State: | TN US |
Postal Code: | 380588611 |
Phone Number: | 9018402102 |
Fax Number: | 9018401979 |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6874 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |