Midtown Injury & Physical Therapy Center P.c. | |
1488 Madison Ave Memphis TN 38104-2447 | |
(901) 726-4110 | |
(901) 726-4106 |
Full Name | Midtown Injury & Physical Therapy Center P.c. |
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Speciality | General Practice |
Location | 1488 Madison Ave, Memphis, Tennessee |
Authorized Official Name and Position | Jerry Lee Lovelace (OWNER) |
Authorized Official Contact | 9017264108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midtown Injury & Physical Therapy Center P.c. 1488 Madison Ave Memphis TN 38104-2447 Ph: (901) 726-4110 | Midtown Injury & Physical Therapy Center P.c. 1488 Madison Ave Memphis TN 38104-2447 Ph: (901) 726-4110 |
NPI Number | 1154461218 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 01/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154461218 | NPI | - | NPPES |
3335622 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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