Willis, Angela Lee

Willis, Angela Lee is an individual health care provider with primary practice located at 5651 Frist Blvd Suite 713, Hermitage TN 37076-2054. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Willis, Angela Lee can be contacted via phone (615) 316-5662.

Contact Information

Primary practice address
5651 Frist Blvd Suite 713 Hermitage TN 37076-2054
Phone: (615) 316-5662
Fax: (615) 316-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD40253 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40253 Tennessee

Profile Details

NPI number 1205825866
LBN Legal business name Willis, Angela Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Apr 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205825866 NPPES
Tennessee MEDICAID 3335851

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