| Neil Bomar Md Pllc | |
|
6750 Poplar Ave 620 Memphis TN 38138-7438 | |
| (901) 755-9908 | |
| (901) 309-8784 |
| Full Name | Neil Bomar Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6750 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Lois E Horton (PRACTICE MANAGER) |
| Authorized Official Contact | 9017371992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil Bomar Md Pllc 6750 Poplar Ave 620 Memphis TN 38138-7438 Ph: (901) 755-9908 | Neil Bomar Md Pllc 6750 Poplar Ave 620 Memphis TN 38138-7438 Ph: (901) 755-9908 |
| NPI Number | 1053615229 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053615229 | NPI | - | NPPES |
| 3326060 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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