Adult Primary Care Of Memphis, Pc | |
3294 Poplar Ave Suite 100 Memphis TN 38111-4649 | |
(901) 324-3660 | |
(901) 324-3668 |
Full Name | Adult Primary Care Of Memphis, Pc |
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Speciality | Internal Medicine |
Location | 3294 Poplar Ave, Memphis, Tennessee |
Authorized Official Name and Position | Mohammed I Abutineh (PRESIDENT) |
Authorized Official Contact | 9013243660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Adult Primary Care Of Memphis, Pc Po Box 338 Memphis TN 38101-0338 Ph: (901) 324-3660 | Adult Primary Care Of Memphis, Pc 3294 Poplar Ave Suite 100 Memphis TN 38111-4649 Ph: (901) 324-3660 |
NPI Number | 1467401323 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467401323 | NPI | - | NPPES |
3812969 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD0000029209 (Tennessee) | Primary |
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