| Baptist Minor Medical Center | |
|
3295 Poplar Ave Ste 105 Memphis TN 38111-4690 | |
| (901) 327-8188 | |
| (901) 327-8284 |
| Full Name | Baptist Minor Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3295 Poplar Ave Ste 105, Memphis, Tennessee |
| Authorized Official Name and Position | Gregory M Duckett (SR VP/ CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Minor Medical Center 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: () - | Baptist Minor Medical Center 3295 Poplar Ave Ste 105 Memphis TN 38111-4690 Ph: (901) 327-8188 |
| NPI Number | 1881640118 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 09/30/2020 |
| Medicare PECOS PAC ID | 9032010715 |
|---|---|
| Medicare Enrollment ID | O20040115000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881640118 | NPI | - | NPPES |
| 09015693 | Medicaid | MS | |
| 3704220 | Medicaid | TN | |
| 3031283 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| Provider Name | Monica Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215065867 PECOS PAC ID: 9537231279 Enrollment ID: I20080711000496 |
| Provider Name | David M Sharfman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972588457 PECOS PAC ID: 6002975968 Enrollment ID: I20081106000420 |
| Provider Name | Hillary H Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124238951 PECOS PAC ID: 1456404672 Enrollment ID: I20090805000136 |
| Provider Name | Warren T Kwok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760411813 PECOS PAC ID: 6901826221 Enrollment ID: I20120424000127 |
| Provider Name | Tamika J Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760758445 PECOS PAC ID: 6204099781 Enrollment ID: I20120521000157 |
| Provider Name | Courtney E Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629407473 PECOS PAC ID: 8628208154 Enrollment ID: I20140303001413 |
| Provider Name | Virginia Hester Mcghee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356732341 PECOS PAC ID: 8628398443 Enrollment ID: I20150519001756 |
| Provider Name | Moustafa El Sayed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780115097 PECOS PAC ID: 1052684032 Enrollment ID: I20200701001704 |
| Provider Name | Jessica E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477264745 PECOS PAC ID: 8426429580 Enrollment ID: I20230127001258 |
| Provider Name | Meghan Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447538798 PECOS PAC ID: 0547494601 Enrollment ID: I20231026003565 |
| Provider Name | Tanecia Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154036721 PECOS PAC ID: 1456798867 Enrollment ID: I20240321000487 |
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