Provider Demographics
NPI:1609335611
Name:FUNCK, JULIA M (DO)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:FUNCK
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:102 WOODMONT BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5250
Mailing Address - Country:US
Mailing Address - Phone:615-314-5257
Mailing Address - Fax:
Practice Address - Street 1:5740 N GRAHAM ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-4839
Practice Address - Country:US
Practice Address - Phone:704-251-8341
Practice Address - Fax:980-549-3832
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2022-02035207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine