| Dina Noureldine, | |
| 
					9047 Poplar Ave Ste 105, Germantown, TN 38138-6401  | |
| (901) 752-2300 | |
| (901) 752-2367 | 
| Full Name | Dina Noureldine | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 9047 Poplar Ave Ste 105, Germantown, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336720192 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 72175 (Tennessee) | Primary | 
| Entity Name | Primary Care Group, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110204000483  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dina Noureldine, 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: () -  | Dina Noureldine, 9047 Poplar Ave Ste 105, Germantown, TN 38138-6401 Ph: (901) 752-2300  | 
Dr. Wesley Owen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Germantown Rd, Germantown, TN 38138 Phone: 901-759-3100  | |
Nora Elizabeth Maldonado, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9047 Poplar Ave Ste 105, Germantown, TN 38138 Phone: 901-752-2300 Fax: 901-752-2367  | |
Sailaja Raju, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1941 S Germantown Rd Ste 103, Germantown, TN 38138 Phone: 901-754-8880 Fax: 901-754-8883  | |
Dr. Heather Sehnert Baldwin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7550 Wolf River Blvd, Suite 200, Germantown, TN 38138 Phone: 901-542-6838 Fax: 901-542-6869  | |
Richard Kyle Hayes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9047 Poplar Ave Ste 105, Germantown, TN 38138 Phone: 901-752-2300 Fax: 901-752-2367  | |
Robert Alan Humphreys, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6685 Poplar Ave Ste 120, Germantown, TN 38138 Phone: 901-685-8245 Fax: 901-685-8248  | |
Gregory Nathan Laurence, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7485 Poplar Pike, Germantown, TN 38138 Phone: 901-752-4999 Fax: 901-752-3761  |