| Memphis Family Medicine Pllc | |
|
6 S Holmes St Memphis TN 38111-3643 | |
| (901) 907-9181 | |
| Not Available |
| Full Name | Memphis Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6 S Holmes St, Memphis, Tennessee |
| Authorized Official Name and Position | Stephen Kenneth Goewey (PRESIDENT) |
| Authorized Official Contact | 9019079181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memphis Family Medicine Pllc 6 S Holmes St Memphis TN 38111-3643 Ph: (901) 907-9181 | Memphis Family Medicine Pllc 6 S Holmes St Memphis TN 38111-3643 Ph: (901) 907-9181 |
| NPI Number | 1255661781 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 01/06/2010 |
| Medicare PECOS PAC ID | 0345385373 |
|---|---|
| Medicare Enrollment ID | O20100302000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255661781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen K Goewey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083651343 PECOS PAC ID: 4880688480 Enrollment ID: I20041201000325 |
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