| Newstart Family And Obstetrical Care, Llc | |
|
3530 Hickory Hill Rd Memphis TN 38115-3840 | |
| (901) 881-6686 | |
| Not Available |
| Full Name | Newstart Family And Obstetrical Care, Llc |
|---|---|
| Speciality | Obstetrics & Gynecology - Obstetrics |
| Location | 3530 Hickory Hill Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Carl F Pean (OWNER) |
| Authorized Official Contact | 9018816686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newstart Family And Obstetrical Care, Llc 3530 Hickory Hill Rd Memphis TN 38115-3840 Ph: (901) 881-6686 | Newstart Family And Obstetrical Care, Llc 3530 Hickory Hill Rd Memphis TN 38115-3840 Ph: (901) 881-6686 |
| NPI Number | 1578813531 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578813531 | NPI | - | NPPES |
| 3375525 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30641 (Tennessee) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 30641 (Tennessee) | Primary |
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