| Mid-south Urgent Care, Pllc | |
|
5905 Stage Rd Bartlett TN 38134-4521 | |
| (901) 779-8657 | |
| (901) 791-4208 |
| Full Name | Mid-south Urgent Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5905 Stage Rd, Bartlett, Tennessee |
| Authorized Official Name and Position | Laura K Johns (CREDENTIALING) |
| Authorized Official Contact | 9012122579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-south Urgent Care, Pllc Po Box 5165 Memphis TN 38101-5165 Ph: (901) 779-8657 | Mid-south Urgent Care, Pllc 5905 Stage Rd Bartlett TN 38134-4521 Ph: (901) 779-8657 |
| NPI Number | 1326741844 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Medicare PECOS PAC ID | 4587891981 |
|---|---|
| Medicare Enrollment ID | O20230323002320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326741844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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