| Tri-state Gastroenterology, P.C. | |
|
1264 Wesley Dr Suite 303 Memphis TN 38116-6400 | |
| (901) 398-9574 | |
| (901) 398-9581 |
| Full Name | Tri-state Gastroenterology, P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1264 Wesley Dr, Memphis, Tennessee |
| Authorized Official Name and Position | Gwendolyn Washington Jones (PRACTICE MANAGER) |
| Authorized Official Contact | 9013989574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Gastroenterology, P.C. 1264 Wesley Dr Suite 303 Memphis TN 38116-6400 Ph: (901) 398-9574 | Tri-state Gastroenterology, P.C. 1264 Wesley Dr Suite 303 Memphis TN 38116-6400 Ph: (901) 398-9574 |
| NPI Number | 1972540953 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496656431 |
|---|---|
| Medicare Enrollment ID | O20100415000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972540953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
| Provider Name | Wesley E Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528009669 PECOS PAC ID: 0244131282 Enrollment ID: I20100414000729 |
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