| Promedica Clinic, Pc / Max Foner, Md, Pc | |
|
361 N 3rd St Memphis TN 38105-2710 | |
| (901) 526-7695 | |
| (901) 525-4483 |
| Full Name | Promedica Clinic, Pc / Max Foner, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 361 N 3rd St, Memphis, Tennessee |
| Authorized Official Name and Position | Max Foner (PRESIDENT, MEDICAL DIRECTOR) |
| Authorized Official Contact | 9015267695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedica Clinic, Pc / Max Foner, Md, Pc 361 N 3rd St Memphis TN 38105-2710 Ph: (901) 526-7695 | Promedica Clinic, Pc / Max Foner, Md, Pc 361 N 3rd St Memphis TN 38105-2710 Ph: (901) 526-7695 |
| NPI Number | 1285711614 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285711614 | NPI | - | NPPES |
| 3119555 | Other | MEDICARE INDIVIDUAL PTAN NUMBER FOR MAX FONER, M.D. | |
| 3389128 | Other | MEDICARE GROUP PTAN NUMBER | |
| 1649357062 | Other | MEDICARE INDIVIDUAL NPI NUMBER FOR MAX FONER, M.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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