| East Memphis Urgent Medcial Clinic | |
|
6515 Poplar Ave Ste 106 Memphis TN 38119-4878 | |
| (901) 792-0700 | |
| Not Available |
| Full Name | East Memphis Urgent Medcial Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6515 Poplar Ave Ste 106, Memphis, Tennessee |
| Authorized Official Name and Position | Dale W Norris (OWNER) |
| Authorized Official Contact | 9017620700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Memphis Urgent Medcial Clinic 6515 Poplar Ave Ste 106 Memphis TN 38119-4878 Ph: (901) 762-0700 | East Memphis Urgent Medcial Clinic 6515 Poplar Ave Ste 106 Memphis TN 38119-4878 Ph: (901) 792-0700 |
| NPI Number | 1326670555 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 03/11/2020 |
| Medicare PECOS PAC ID | 4486085198 |
|---|---|
| Medicare Enrollment ID | O20200513002261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326670555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Dale W Norris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174558456 PECOS PAC ID: 1456335157 Enrollment ID: I20040617001392 |
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