Adult Primary Care Of Memphis Pc | |
6263 Poplar Ave Suite 1052 Memphis TN 38119-4701 | |
(901) 761-6157 | |
Not Available |
Full Name | Adult Primary Care Of Memphis Pc |
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Speciality | Internal Medicine |
Location | 6263 Poplar Ave, Memphis, Tennessee |
Authorized Official Name and Position | Mohammad I Abutineh (OWNER) |
Authorized Official Contact | 9017616157 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adult Primary Care Of Memphis Pc Po Box 338 Memphis TN 38101-0338 Ph: (901) 761-6157 | Adult Primary Care Of Memphis Pc 6263 Poplar Ave Suite 1052 Memphis TN 38119-4701 Ph: (901) 761-6157 |
NPI Number | 1376738906 |
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Provider Enumeration Date | 09/06/2007 |
Last Update Date | 10/23/2007 |
Medicare PECOS PAC ID | 7012950090 |
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Medicare Enrollment ID | O20050610000069 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376738906 | NPI | - | NPPES |
4059600 | Other | TN | BCBS OF TN |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD29209 (Tennessee) | Primary |
Provider Name | Stella E Nwokeji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316119118 PECOS PAC ID: 0345319356 Enrollment ID: I20080516000462 |
Provider Name | Ora L Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821142977 PECOS PAC ID: 7113079948 Enrollment ID: I20090708000793 |
Provider Name | Mohammad I Abutineh |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1043262538 PECOS PAC ID: 4981647971 Enrollment ID: I20120511000188 |
Provider Name | Felesha R Perry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306262993 PECOS PAC ID: 7517187263 Enrollment ID: I20141001002087 |
Provider Name | Sherrita Yankaway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346619764 PECOS PAC ID: 6406166107 Enrollment ID: I20151109002518 |
Provider Name | Nicole Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437695418 PECOS PAC ID: 6507142577 Enrollment ID: I20170406001682 |
Provider Name | Lekeisha Anderson Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427441419 PECOS PAC ID: 4284949827 Enrollment ID: I20180814003747 |
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