| Southern Physicians PLLC | |
|
1265 Union Ave Memphis TN 38104-3415 | |
| (901) 596-7689 | |
| Not Available |
| Full Name | Southern Physicians PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1265 Union Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Hosam Mousselli (SOLE MBR) |
| Authorized Official Contact | 9015967689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Physicians PLLC Po Box 382693 Germantown TN 38183-2693 Ph: (901) 821-0338 | Southern Physicians PLLC 1265 Union Ave Memphis TN 38104-3415 Ph: (901) 596-7689 |
| NPI Number | 1851676696 |
|---|---|
| Provider Enumeration Date | 10/12/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851676696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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