| |
1509 Union Ave, Memphis, TN 38104 | |
(901) 278-5156 | |
(901) 278-5161 |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 1509 Union Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1427224856 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Po Box 7461, Jupiter, FL 33468 Ph: (561) 649-4662 | 1509 Union Ave, Memphis, TN 38104 Ph: (901) 278-5156 |