| Thredkeld Threlkeld And Omer Pllc | |
|
5210 Poplar Ave Suite 200 Memphis TN 38119-3515 | |
| (901) 685-3490 | |
| Not Available |
| Full Name | Thredkeld Threlkeld And Omer Pllc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 5210 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Michael G Threlkeld (PARTNER) |
| Authorized Official Contact | 9016853490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thredkeld Threlkeld And Omer Pllc 5210 Poplar Ave Suite 200 Memphis TN 38119-3515 Ph: (901) 685-3490 | Thredkeld Threlkeld And Omer Pllc 5210 Poplar Ave Suite 200 Memphis TN 38119-3515 Ph: (901) 685-3490 |
| NPI Number | 1073527305 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073527305 | NPI | - | NPPES |
| 09016197 | Medicaid | MS | |
| 3721649 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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