| Vogelfanger And Struble Clinic | |
|
6005 Park Ave Suite 630b Memphis TN 38119-5202 | |
| (901) 767-1136 | |
| (901) 767-0476 |
| Full Name | Vogelfanger And Struble Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6005 Park Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Sue Stovall (OFFICE MANAGER) |
| Authorized Official Contact | 9017671136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vogelfanger And Struble Clinic 6005 Park Ave Suite 630b Memphis TN 38119-5202 Ph: (901) 767-1136 | Vogelfanger And Struble Clinic 6005 Park Ave Suite 630b Memphis TN 38119-5202 Ph: (901) 767-1136 |
| NPI Number | 1508895764 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 07/31/2013 |
| Medicare PECOS PAC ID | 6608963954 |
|---|---|
| Medicare Enrollment ID | O20071102000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508895764 | NPI | - | NPPES |
| Provider Name | Anthony W Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154477453 PECOS PAC ID: 7810883485 Enrollment ID: I20040223000608 |
| Provider Name | David L Struble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710919352 PECOS PAC ID: 8022051168 Enrollment ID: I20050609000079 |
| Provider Name | Margaret H Priest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790853984 PECOS PAC ID: 4789782673 Enrollment ID: I20070530000374 |
| Provider Name | James R Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992711386 PECOS PAC ID: 5698873131 Enrollment ID: I20070607000348 |
| Provider Name | Anita S Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760498182 PECOS PAC ID: 6204923550 Enrollment ID: I20080111000504 |
| Provider Name | Kenny N Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902991706 PECOS PAC ID: 2668569914 Enrollment ID: I20080114000196 |
| Provider Name | Joni Elrod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467481622 PECOS PAC ID: 6204917487 Enrollment ID: I20080114000401 |
| Provider Name | Laurie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063693893 PECOS PAC ID: 9133200363 Enrollment ID: I20080114000713 |
| Provider Name | Chante Smith-steward Fason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902966765 PECOS PAC ID: 0446358634 Enrollment ID: I20080826000182 |
| Provider Name | Robin K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750640306 PECOS PAC ID: 6608022611 Enrollment ID: I20120807000752 |
| Provider Name | Nga T Huynh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679716013 PECOS PAC ID: 7911127014 Enrollment ID: I20141010002321 |
| Provider Name | Erin Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497123343 PECOS PAC ID: 8022319524 Enrollment ID: I20151228001605 |
| Provider Name | Michael J Rack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639194566 PECOS PAC ID: 2961474853 Enrollment ID: I20151230000551 |
| Provider Name | Mary E Hamm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023552387 PECOS PAC ID: 7315220795 Enrollment ID: I20170208003129 |
| Provider Name | Camillia Haddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043752793 PECOS PAC ID: 9739450263 Enrollment ID: I20170802001262 |
| Provider Name | Sarah B Vogelfanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356850283 PECOS PAC ID: 6901160316 Enrollment ID: I20180511001975 |
| Provider Name | Michael D Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174032213 PECOS PAC ID: 1052666591 Enrollment ID: I20180625000746 |
| Provider Name | Melissa Dawn Shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861086654 PECOS PAC ID: 9436549326 Enrollment ID: I20211208002403 |
| Provider Name | Clifton Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265030175 PECOS PAC ID: 5294125118 Enrollment ID: I20211208003709 |
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