| Advanced Primary Care Llc | |
|
5983 Apple Tree Drive Memphis TN 38115 | |
| (901) 367-7460 | |
| (901) 367-9099 |
| Full Name | Advanced Primary Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5983 Apple Tree Drive, Memphis, Tennessee |
| Authorized Official Name and Position | Michael A Jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9014050911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Primary Care Llc Po Box 18692 Memphis TN 38181-0692 Ph: (901) 405-0911 | Advanced Primary Care Llc 5983 Apple Tree Drive Memphis TN 38115 Ph: (901) 367-7460 |
| NPI Number | 1033249974 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033249974 | NPI | - | NPPES |
| 1517924 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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