Angela Willis Family Practice PLLC

Organization Active NPI Family Medicine Physician · Hermitage, TN

NPI 1891151981 · NPPES record last updated Jan 6, 2016

Key facts

NPI
1891151981
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ANGELA WILLIS FAMILY PRACTICE PLLC
Practice address
3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097
Phone
(615) 316-5662
NPI assigned
Jan 6, 2016
Organization subpart
No

Authorized official

Name
Dr. Angela L Willis, MD
Title
Owner
Phone
(615) 316-5662

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X TN Yes

Addresses

Primary practice location

3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097

Mailing address

3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097
Phone (615) 316-5662

Other providers in Hermitage, TN

All providers in Hermitage, TN · Family Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.