| Resilient Medical Services | |
|
721 W Brookhaven Cir Memphis TN 38117-4503 | |
| (901) 821-0945 | |
| (901) 255-0637 |
| Full Name | Resilient Medical Services |
|---|---|
| Speciality | General Practice |
| Location | 721 W Brookhaven Cir, Memphis, Tennessee |
| Authorized Official Name and Position | Debra James (BILLING MANAGER) |
| Authorized Official Contact | 9014887995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Medical Services 721 W Brookhaven Cir Memphis TN 38117-4503 Ph: (901) 821-0945 | Resilient Medical Services 721 W Brookhaven Cir Memphis TN 38117-4503 Ph: (901) 821-0945 |
| NPI Number | 1154934677 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 03/15/2022 |
| Medicare PECOS PAC ID | 6709273766 |
|---|---|
| Medicare Enrollment ID | O20220422000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154934677 | NPI | - | NPPES |
| 048446248 | Other | TN | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Christopher J Cummins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376741355 PECOS PAC ID: 6406943265 Enrollment ID: I20151229001857 |
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