| Tamarack Medical | |
|
4100 Austin Peay Hwy Memphis TN 38128-2502 | |
| (901) 213-5400 | |
| Not Available |
| Full Name | Tamarack Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Austin Peay Hwy, Memphis, Tennessee |
| Authorized Official Name and Position | Kerry L Milligan (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9018441431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamarack Medical Po Box 130 Arlington TN 38002-0130 Ph: (901) 844-1431 | Tamarack Medical 4100 Austin Peay Hwy Memphis TN 38128-2502 Ph: (901) 213-5400 |
| NPI Number | 1265320881 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/12/2025 |
| Medicare PECOS PAC ID | 8527566520 |
|---|---|
| Medicare Enrollment ID | O20250808003222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265320881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Kerry L Milligan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780776765 PECOS PAC ID: 8325937709 Enrollment ID: I20040312001272 |
| Provider Name | Barbara Helena Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831584622 PECOS PAC ID: 5395066120 Enrollment ID: I20150605000539 |
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