Provider Demographics
NPI:1467759860
Name:GERMANTOWN WELLNESS & PREVENTIVE MEDICINE, PLLC
Entity type:Organization
Organization Name:GERMANTOWN WELLNESS & PREVENTIVE MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-337-2410
Mailing Address - Street 1:1900 EXETER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2954
Mailing Address - Country:US
Mailing Address - Phone:901-684-1322
Mailing Address - Fax:901-682-6368
Practice Address - Street 1:1900 EXETER RD STE 100
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2954
Practice Address - Country:US
Practice Address - Phone:901-684-1322
Practice Address - Fax:901-682-6368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty