| Vitalsmd Llc | |
|
1282 Union Ave Memphis TN 38104-3414 | |
| (662) 822-7454 | |
| Not Available |
| Full Name | Vitalsmd Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1282 Union Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Lakeisha Marie Conley (SOLE MEMBER) |
| Authorized Official Contact | 6628227454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalsmd Llc 6515 Goodman Rd Ste 4-326 Olive Branch MS 38654-7333 Ph: (662) 822-7454 | Vitalsmd Llc 1282 Union Ave Memphis TN 38104-3414 Ph: (662) 822-7454 |
| NPI Number | 1154932754 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 08/17/2020 |
| Medicare PECOS PAC ID | 1951729615 |
|---|---|
| Medicare Enrollment ID | O20200911000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154932754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lakeisha Marie Conley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720277056 PECOS PAC ID: 2961535224 Enrollment ID: I20200911001082 |
Christ Commuity Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 S 3rd St, Memphis, TN 38109 Phone: 901-842-3160 Fax: 901-842-2360 | |
Elite Patient Care Of Tennessee Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Peabody Pl Ste 150, Memphis, TN 38103 Phone: 337-408-0797 | |
Jerry M Holley Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 Austin Peay Hwy, Memphis, TN 38128 Phone: 901-486-1151 Fax: 901-844-1439 | |
Spirit Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Union Ave Ste 1240, Memphis, TN 38104 Phone: 901-832-6734 | |
Peabody Family Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Suite 150, Memphis, TN 38104 Phone: 901-725-0648 Fax: 901-725-1037 | |
Eastmoreland Internal Medicine Mpllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Ste 245, Memphis, TN 38104 Phone: 901-729-3700 Fax: 901-729-3750 | |
Muh Weight Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Ave Ste 550, Memphis, TN 38104 Phone: 901-448-6635 Fax: 901-448-5721 |