| Poplar Primary Care Pc | |
|
3445 Poplar Ave Suite100 Memphis TN 38111-4667 | |
| (901) 323-7651 | |
| Not Available |
| Full Name | Poplar Primary Care Pc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 3445 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Gumersindo Leal (OWNER) |
| Authorized Official Contact | 9013237651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poplar Primary Care Pc 3445 Poplar Ave Suite100 Memphis TN 38111-4667 Ph: (901) 323-7651 | Poplar Primary Care Pc 3445 Poplar Ave Suite100 Memphis TN 38111-4667 Ph: (901) 323-7651 |
| NPI Number | 1699947713 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699947713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 26031 (Tennessee) | Primary |
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