| Broca Inpatient Services | |
|
6019 Walnut Grove Rd Memphis TN 38120-2113 | |
| (901) 226-3190 | |
| Not Available |
| Full Name | Broca Inpatient Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 6019 Walnut Grove Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Gregory Byrne (PRESIDENT/OWNER) |
| Authorized Official Contact | 2147122000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broca Inpatient Services Po Box 42971 Philadelphia PA 19101-2971 | Broca Inpatient Services 6019 Walnut Grove Rd Memphis TN 38120-2113 Ph: (901) 226-3190 |
| NPI Number | 1609814078 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609814078 | NPI | - | NPPES |
| 3735123 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N/A (NU) | Primary |
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