| Northcross Internal Medicine, PLLC | |
|
3445 Poplar Ave Memphis TN 38111-4667 | |
| (901) 523-7781 | |
| (901) 523-7799 |
| Full Name | Northcross Internal Medicine, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3445 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Phillip R Northcross (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9015237781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcross Internal Medicine, PLLC 3445 Poplar Ave Memphis TN 38111-4667 Ph: (901) 523-7781 | Northcross Internal Medicine, PLLC 3445 Poplar Ave Memphis TN 38111-4667 Ph: (901) 523-7781 |
| NPI Number | 1871068361 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
| Medicare PECOS PAC ID | 8921344433 |
|---|---|
| Medicare Enrollment ID | O20190103002767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871068361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Phillip Northcross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831166677 PECOS PAC ID: 3577553379 Enrollment ID: I20040513001486 |
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