Healthcare Provider Details

I. General information

NPI: 1336357912
Provider Name (Legal Business Name): ARMADILLO MEDICAL SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 COLLEGE ST STE A
LAFAYETTE TN
37083-1751
US

IV. Provider business mailing address

420 COLLEGE ST STE A
LAFAYETTE TN
37083-1751
US

V. Phone/Fax

Practice location:
  • Phone: 615-688-5383
  • Fax: 888-972-5790
Mailing address:
  • Phone: 615-688-5383
  • Fax: 888-972-5790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberMD000025613
License Number StateTN

VIII. Authorized Official

Name: DR. PHILIP W HUNT
Title or Position: PRESIDENT / PRACTICE ADMINISTRATOR
Credential: MD
Phone: 615-688-5383