| Infectious Dx Solutions Pc | |
|
3025 Kate Bond Rd Bartlett TN 38133-4004 | |
| (901) 410-2159 | |
| Not Available |
| Full Name | Infectious Dx Solutions Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3025 Kate Bond Rd, Bartlett, Tennessee |
| Authorized Official Name and Position | Tina Agbaosi (PRESIDENT) |
| Authorized Official Contact | 9014102159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Dx Solutions Pc Po Box 18361 Memphis TN 38181-0361 Ph: (901) 410-2159 | Infectious Dx Solutions Pc 3025 Kate Bond Rd Bartlett TN 38133-4004 Ph: (901) 410-2159 |
| NPI Number | 1679063135 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 4789917824 |
|---|---|
| Medicare Enrollment ID | O20190605001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679063135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Tennessee) | Primary |
| Provider Name | Tina A Agbaosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740423417 PECOS PAC ID: 7911179247 Enrollment ID: I20111011000384 |
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