| Adult And Adolescent Medicine Clinics, Pllc | |
|
3294 Poplar Ave Suite 100 Memphis TN 38111-4649 | |
| (901) 362-8671 | |
| (901) 458-4896 |
| Full Name | Adult And Adolescent Medicine Clinics, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3294 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Mahmood Ali (PRESIDENT) |
| Authorized Official Contact | 9013628671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult And Adolescent Medicine Clinics, Pllc Po Box 1000 Dept 583 Memphis TN 38148-0001 Ph: (901) 362-8671 | Adult And Adolescent Medicine Clinics, Pllc 3294 Poplar Ave Suite 100 Memphis TN 38111-4649 Ph: (901) 362-8671 |
| NPI Number | 1205975075 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205975075 | NPI | - | NPPES |
| 3832363 | Medicaid | TN | |
| 00125928 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD0000030021 (Tennessee) | Primary |
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