| Collierville Family Health Pllc | |
|
2028 W Poplar Ave Suite 115 Collierville TN 38017-0618 | |
| (901) 221-8983 | |
| (901) 221-8985 |
| Full Name | Collierville Family Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2028 W Poplar Ave, Collierville, Tennessee |
| Authorized Official Name and Position | Shoaib Qureshi (OWNER/ SOLE MEMBER) |
| Authorized Official Contact | 9012218983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collierville Family Health Pllc 2028 W Poplar Ave Suite 115 Collierville TN 38017-0618 Ph: (901) 221-8983 | Collierville Family Health Pllc 2028 W Poplar Ave Suite 115 Collierville TN 38017-0618 Ph: (901) 221-8983 |
| NPI Number | 1891069563 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 07/26/2024 |
| Medicare PECOS PAC ID | 5890959381 |
|---|---|
| Medicare Enrollment ID | O20120613000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891069563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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