| Primary Medical Partners | |
|
721 W Brookhaven Cir Memphis TN 38117-4503 | |
| (901) 767-8077 | |
| (901) 767-8861 |
| Full Name | Primary Medical Partners |
|---|---|
| Speciality | General Practice |
| Location | 721 W Brookhaven Cir, Memphis, Tennessee |
| Authorized Official Name and Position | Richard Hatchcock (OWNER) |
| Authorized Official Contact | 9017678077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Partners 721 W Brookhaven Cir Memphis TN 38117-4503 Ph: (901) 767-8077 | Primary Medical Partners 721 W Brookhaven Cir Memphis TN 38117-4503 Ph: (901) 767-8077 |
| NPI Number | 1114322245 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 10/31/2014 |
| Medicare PECOS PAC ID | 6103143920 |
|---|---|
| Medicare Enrollment ID | O20150316001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114322245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Tamra L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336121318 PECOS PAC ID: 7719977123 Enrollment ID: I20040517001215 |
| Provider Name | Kayur Vithalbhai Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366481947 PECOS PAC ID: 6305817313 Enrollment ID: I20050808000171 |
| Provider Name | John Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144205253 PECOS PAC ID: 3476677790 Enrollment ID: I20100824000156 |
| Provider Name | Christopher J Cummins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376741355 PECOS PAC ID: 6406943265 Enrollment ID: I20151229001857 |
| Provider Name | Charlotte R Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548580509 PECOS PAC ID: 8628101326 Enrollment ID: I20161011002087 |
| Provider Name | Mohammed Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134234529 PECOS PAC ID: 4082797816 Enrollment ID: I20180910001855 |
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