| Xpedited Care Llc | |
|
1204 N Houston Levee Rd Cordova TN 38018-6687 | |
| (901) 857-4228 | |
| Not Available |
| Full Name | Xpedited Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1204 N Houston Levee Rd, Cordova, Tennessee |
| Authorized Official Name and Position | Susan Ibrahim (OWNER) |
| Authorized Official Contact | 9018574228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xpedited Care Llc 1204 N Houston Levee Rd Cordova TN 38018-6687 Ph: (901) 857-4228 | Xpedited Care Llc 1204 N Houston Levee Rd Cordova TN 38018-6687 Ph: (901) 857-4228 |
| NPI Number | 1093558611 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 05/09/2025 |
| Medicare PECOS PAC ID | 2163944943 |
|---|---|
| Medicare Enrollment ID | O20250321000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093558611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Susan B Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568511491 PECOS PAC ID: 7618345315 Enrollment ID: I20221130003636 |
| Provider Name | Susan B Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568511491 PECOS PAC ID: 7618345315 Enrollment ID: I20250324000309 |
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