| Tennessee Phs MD LLC | |
|
9155 Crestwyn Hills Dr Memphis TN 38125-8501 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Tennessee Phs MD LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 9155 Crestwyn Hills Dr, Memphis, Tennessee |
| Authorized Official Name and Position | Nicole Howard (CEO) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Phs MD LLC 1509 Dulles Dr Lafayette LA 70506-3718 | Tennessee Phs MD LLC 9155 Crestwyn Hills Dr Memphis TN 38125-8501 Ph: (337) 991-9276 |
| NPI Number | 1255702973 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255702973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (NU) | Secondary |
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