Millennia Medical LLC

Organization Active NPI General Practice Physician · Lexington, TN

NPI 1295273993 · NPPES record last updated Feb 2, 2017

Key facts

NPI
1295273993
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
MILLENNIA MEDICAL LLC
Practice address
864 W Church St Ste a
Lexington, TN 38351-1744
Phone
(731) 249-9777
Fax
(731) 249-5011
NPI assigned
Feb 2, 2017
Organization subpart
No

Authorized official

Name
Candace Willis, FNP
Title
Owner/Partner
Phone
(731) 249-9777

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

864 W Church St
Ste A
Lexington, TN 38351
Phone (731) 249-9777

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207Q00000X
General Practice Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

864 W Church St Ste a
Lexington, TN 38351-1744

Mailing address

864 W Church St Ste a
Lexington, TN 38351-1744
Phone (731) 249-9777

Other providers in Lexington, TN

All providers in Lexington, TN · General Practice Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.