| Adult Primary Care Of Memphis Pc | |
|
6263 Poplar Ave Suite 1052 Memphis TN 38119-4701 | |
| (901) 761-6157 | |
| Not Available |
| Full Name | Adult Primary Care Of Memphis Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6263 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Mohammad I Abutineh (OWNER) |
| Authorized Official Contact | 9017616157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Primary Care Of Memphis Pc Po Box 338 Memphis TN 38101-0338 Ph: (901) 761-6157 | Adult Primary Care Of Memphis Pc 6263 Poplar Ave Suite 1052 Memphis TN 38119-4701 Ph: (901) 761-6157 |
| NPI Number | 1376738906 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 10/23/2007 |
| Medicare PECOS PAC ID | 7012950090 |
|---|---|
| Medicare Enrollment ID | O20050610000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376738906 | NPI | - | NPPES |
| 4059600 | Other | TN | BCBS OF TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD29209 (Tennessee) | Primary |
| Provider Name | Stella E Nwokeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316119118 PECOS PAC ID: 0345319356 Enrollment ID: I20080516000462 |
| Provider Name | Ora L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821142977 PECOS PAC ID: 7113079948 Enrollment ID: I20090708000793 |
| Provider Name | Mohammad I Abutineh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1043262538 PECOS PAC ID: 4981647971 Enrollment ID: I20120511000188 |
| Provider Name | Felesha R Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306262993 PECOS PAC ID: 7517187263 Enrollment ID: I20141001002087 |
| Provider Name | Sherrita Yankaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346619764 PECOS PAC ID: 6406166107 Enrollment ID: I20151109002518 |
| Provider Name | Nicole Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437695418 PECOS PAC ID: 6507142577 Enrollment ID: I20170406001682 |
| Provider Name | Lekeisha Anderson Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427441419 PECOS PAC ID: 4284949827 Enrollment ID: I20180814003747 |
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