| Clinic LLC | |
|
3393 Kirby Rd Memphis TN 38115-4253 | |
| (901) 542-0864 | |
| Not Available |
| Full Name | Clinic LLC |
|---|---|
| Speciality | General Practice |
| Location | 3393 Kirby Rd, Memphis, Tennessee |
| Authorized Official Name and Position | David Conner (OWNER) |
| Authorized Official Contact | 9012709145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic LLC 1011 W Poplar Ave Ste 5 Collierville TN 38017-2577 Ph: (901) 607-9064 | Clinic LLC 3393 Kirby Rd Memphis TN 38115-4253 Ph: (901) 542-0864 |
| NPI Number | 1033604574 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033604574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
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