Maximum Health And Wellness Llc | |
6094 Apple Tree Dr Suite 6 Memphis TN 38115-0308 | |
(901) 791-4205 | |
(901) 791-4157 |
Full Name | Maximum Health And Wellness Llc |
---|---|
Speciality | General Practice |
Location | 6094 Apple Tree Dr, Memphis, Tennessee |
Authorized Official Name and Position | Kendrick Joyce (OWNER) |
Authorized Official Contact | 9017914205 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Maximum Health And Wellness Llc 6094 Apple Tree Dr Suite 6 Memphis TN 38115-0308 Ph: (901) 791-4205 | Maximum Health And Wellness Llc 6094 Apple Tree Dr Suite 6 Memphis TN 38115-0308 Ph: (901) 791-4205 |
NPI Number | 1629493424 |
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Provider Enumeration Date | 03/03/2014 |
Last Update Date | 03/03/2014 |
Medicare PECOS PAC ID | 5193957751 |
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Medicare Enrollment ID | O20140414000310 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629493424 | NPI | - | NPPES |
44185 | Other | TN | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 44185 (Tennessee) | Primary |
Provider Name | Kendrick Joyce |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1801949847 PECOS PAC ID: 2466518956 Enrollment ID: I20090309000259 |
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