| Locum Tenens Healthcare | |
|
3145 Hickory Hill Rd Suite 101 Memphis TN 38115-2533 | |
| (901) 367-1116 | |
| (901) 367-1120 |
| Full Name | Locum Tenens Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3145 Hickory Hill Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Kelvin L Douglas (DOCTOR) |
| Authorized Official Contact | 9013671116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locum Tenens Healthcare 2156 N Highland Ave # 282 Ste B Jackson TN 38305-4915 Ph: (901) 367-1116 | Locum Tenens Healthcare 3145 Hickory Hill Rd Suite 101 Memphis TN 38115-2533 Ph: (901) 367-1116 |
| NPI Number | 1992901128 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992901128 | NPI | - | NPPES |
| 1992901128 | Other | TN | NPI FOR MEMPHIS OFFICE |
| 1982643482 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD0000026349 (Tennessee) | Primary |
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