| Tennessee Phs Pc | |
|
9155 Crestwyn Hills Dr Memphis TN 38125-8501 | |
| (901) 261-4858 | |
| (901) 261-4867 |
| Full Name | Tennessee Phs Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9155 Crestwyn Hills Dr, Memphis, Tennessee |
| Authorized Official Name and Position | Nicole Howard (CFO) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Phs Pc 1509 Dulles Drive Lafayette LA 70506 Ph: (337) 991-9276 | Tennessee Phs Pc 9155 Crestwyn Hills Dr Memphis TN 38125-8501 Ph: (901) 261-4858 |
| NPI Number | 1184854473 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184854473 | NPI | - | NPPES |
| 1519862 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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