Provider Demographics
NPI:1720099708
Name:FAMILY PHYSICIANS OF GREENEVILLE
Entity Type:Organization
Organization Name:FAMILY PHYSICIANS OF GREENEVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOPPENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-787-7000
Mailing Address - Street 1:1410 TUSCULUM BLVD
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-5819
Mailing Address - Country:US
Mailing Address - Phone:423-787-7000
Mailing Address - Fax:
Practice Address - Street 1:1410 TUSCULUM BLVD
Practice Address - Street 2:SUITE 2600
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-5819
Practice Address - Country:US
Practice Address - Phone:423-787-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30267207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty