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Organization · Preferred Provider Organization · Memphis, TN
- NPI
- 1992230411
- Type
- Organization (Type 2)
- Primary specialty
- Preferred Provider Organization
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305R00000X
- License number
- 305R00000X (TN)
- Enumerated
- 2017-04-21
- Last updated
- 2017-04-21
Practice location
2735 S Mendenhall Rd, Suite 8
Memphis, TN 38115-1556
(612) 986-9756