| Primary Care Specialists | |
|
3109 Walnut Grove Road Memphis TN 38111-3509 | |
| (901) 515-4842 | |
| (901) 458-0405 |
| Full Name | Primary Care Specialists |
|---|---|
| Speciality | Family Medicine |
| Location | 3109 Walnut Grove Road, Memphis, Tennessee |
| Authorized Official Name and Position | Mary Ellen Jensen (OFFICE MANAGER) |
| Authorized Official Contact | 9015673414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Specialists Po Box 1726 Memphis TN 38101-1726 Ph: (901) 515-4842 | Primary Care Specialists 3109 Walnut Grove Road Memphis TN 38111-3509 Ph: (901) 515-4842 |
| NPI Number | 1760551832 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 01/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760551832 | NPI | - | NPPES |
| 0966550001 | Other | TN | DMEM |
| 3703214 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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