| Amy Bonk-chanin, Mspac | |
|
5575 Poplar Ave Ste 504 Memphis TN 38119-0821 | |
| (901) 761-1850 | |
| Not Available |
| Full Name | Amy Bonk-chanin, Mspac |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5575 Poplar Ave Ste 504, Memphis, Tennessee |
| Authorized Official Name and Position | Amy Bonk-chanin (PRESIDENT) |
| Authorized Official Contact | 9017611850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Bonk-chanin, Mspac 5575 Poplar Ave Ste 504 Memphis TN 38119-0821 Ph: (901) 761-1850 | Amy Bonk-chanin, Mspac 5575 Poplar Ave Ste 504 Memphis TN 38119-0821 Ph: (901) 761-1850 |
| NPI Number | 1972920452 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972920452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 277 (Tennessee) | Primary |
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