| Preventivemd, Pllc | |
|
4066 Summer Ave Memphis TN 38122-5262 | |
| (901) 452-7391 | |
| Not Available |
| Full Name | Preventivemd, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4066 Summer Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Tiffany Wright (MANAGER) |
| Authorized Official Contact | 9012015675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventivemd, Pllc 1407 Union Ave Ste 305 Memphis TN 38104-3615 Ph: (901) 609-2444 | Preventivemd, Pllc 4066 Summer Ave Memphis TN 38122-5262 Ph: (901) 452-7391 |
| NPI Number | 1386478949 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386478949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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