Spirit Health | |
1331 Union Ave Ste 1240 Memphis TN 38104-7552 | |
(901) 832-6734 | |
Not Available |
Full Name | Spirit Health |
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Speciality | Family Medicine |
Location | 1331 Union Ave Ste 1240, Memphis, Tennessee |
Authorized Official Name and Position | Marye Bernard (OWNER) |
Authorized Official Contact | 9018326734 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Spirit Health 1331 Union Ave Ste 1240 Memphis TN 38104-7552 Ph: () - | Spirit Health 1331 Union Ave Ste 1240 Memphis TN 38104-7552 Ph: (901) 832-6734 |
NPI Number | 1013568567 |
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Provider Enumeration Date | 09/26/2019 |
Last Update Date | 09/26/2019 |
Medicare PECOS PAC ID | 5092147645 |
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Medicare Enrollment ID | O20191119003460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013568567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Marshe D Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407090889 PECOS PAC ID: 2365595469 Enrollment ID: I20090807000272 |
Provider Name | Marye Bernard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285805150 PECOS PAC ID: 7113170721 Enrollment ID: I20130110000183 |
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