| Memorial Medical Group | |
|
1820 Haynes St Clarksville TN 37043-4547 | |
| (931) 245-1500 | |
| (931) 245-1544 |
| Full Name | Memorial Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1820 Haynes St, Clarksville, Tennessee |
| Authorized Official Name and Position | John J James (OWNER) |
| Authorized Official Contact | 9312451500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Group Po Box 3929 Clarksville TN 37043-0929 Ph: (931) 245-1500 | Memorial Medical Group 1820 Haynes St Clarksville TN 37043-4547 Ph: (931) 245-1500 |
| NPI Number | 1649609603 |
|---|---|
| Provider Enumeration Date | 11/10/2013 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649609603 | NPI | - | NPPES |
| Q006038 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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