| Eastmoreland Internal Medicine Mpllc | |
|
1325 Eastmoreland Avenue Ste 245 Memphis TN 38104 | |
| (901) 729-3700 | |
| (901) 729-3750 |
| Full Name | Eastmoreland Internal Medicine Mpllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 Eastmoreland Avenue, Memphis, Tennessee |
| Authorized Official Name and Position | Marchelle Thorpe (ADMINISTRATOR) |
| Authorized Official Contact | 9017293740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastmoreland Internal Medicine Mpllc 1325 Eastmoreland Avenue Ste 245 Memphis TN 38104 Ph: (901) 729-3700 | Eastmoreland Internal Medicine Mpllc 1325 Eastmoreland Avenue Ste 245 Memphis TN 38104 Ph: (901) 729-3700 |
| NPI Number | 1023075041 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023075041 | NPI | - | NPPES |
| 371661 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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