| The Fatigue Clinic Llc | |
|
890 W Poplar Ave Ste 6 Collierville TN 38017-2582 | |
| (901) 221-8621 | |
| (901) 221-8631 |
| Full Name | The Fatigue Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 890 W Poplar Ave Ste 6, Collierville, Tennessee |
| Authorized Official Name and Position | Susan D Earl (OWNER/PROVIDER) |
| Authorized Official Contact | 9012218621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Fatigue Clinic Llc 890 W Poplar Ave Ste 6 Collierville TN 38017-2582 Ph: (901) 221-8621 | The Fatigue Clinic Llc 890 W Poplar Ave Ste 6 Collierville TN 38017-2582 Ph: (901) 221-8621 |
| NPI Number | 1962779645 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 08/13/2020 |
| Medicare PECOS PAC ID | 2769658681 |
|---|---|
| Medicare Enrollment ID | O20111227000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962779645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12687 (Tennessee) | Primary |
| Provider Name | Susan D Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093931719 PECOS PAC ID: 0345321196 Enrollment ID: I20100928001248 |
First Choice Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 472 W Poplar Ave Ste 201, Collierville, TN 38017 Phone: 901-854-5771 Fax: 901-854-5774 | |
Harvest Health Solutions, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 574 Green Tree Cv, Suite 203, Collierville, TN 38017 Phone: 901-850-2233 Fax: 901-850-9911 | |
Collierville Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Halle Park Drive, Collierville, TN 38017 Phone: 901-854-1877 Fax: 901-854-6181 | |
Collierville Family Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 W Poplar Ave, Collierville, TN 38017 Phone: 901-853-9700 Fax: 901-853-9996 | |
Collierville Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Collierville, TN 38017 Phone: 901-853-4747 Fax: 901-853-6716 | |
Midsouth Intenal Medicine Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Ivy Brook Ln, Collierville, TN 38017 Phone: 901-692-0956 | |
Jeffers Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Halle Park Dr, Collierville, TN 38017 Phone: 901-730-5345 Fax: 901-730-5370 |