| Family Doctors-doctores De Familia, Plc | |
|
3860 New Covington Pike Suite 101 Memphis TN 38128-2506 | |
| (901) 377-6805 | |
| (901) 377-6806 |
| Full Name | Family Doctors-doctores De Familia, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 3860 New Covington Pike, Memphis, Tennessee |
| Authorized Official Name and Position | Vijay Mattewada (CO-OWNER) |
| Authorized Official Contact | 9013776805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Doctors-doctores De Familia, Plc 3860 New Covington Pike Suite101 Memphis TN 38128-2506 Ph: (901) 377-6805 | Family Doctors-doctores De Familia, Plc 3860 New Covington Pike Suite 101 Memphis TN 38128-2506 Ph: (901) 377-6805 |
| NPI Number | 1407807654 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407807654 | NPI | - | NPPES |
| 3731181 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000040121 (Tennessee) | Primary |
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