| Sugar Pros PC | |
|
5220 Park Ave Ste 202 Memphis TN 38119-3547 | |
| (901) 468-3105 | |
| Not Available |
| Full Name | Sugar Pros PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5220 Park Ave Ste 202, Memphis, Tennessee |
| Authorized Official Name and Position | Cherechi Ogwo (MANAGER) |
| Authorized Official Contact | 9014683105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Pros PC 875 W Poplar Avenue, Ste 24, #102 Collierville TN 38017 | Sugar Pros PC 5220 Park Ave Ste 202 Memphis TN 38119-3547 Ph: (901) 468-3105 |
| NPI Number | 1780497792 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Medicare PECOS PAC ID | 9234651977 |
|---|---|
| Medicare Enrollment ID | O20260430002218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780497792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (NU) | Primary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (NU) | Secondary |
| Provider Name | Cherechi C Ogwo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720321060 PECOS PAC ID: 8729226600 Enrollment ID: I20260430002462 |
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