Centrosalud Pc

NPI 1003951963 - Specialist - 174400000X

NPI Details
NPI 1003951963
Enumeration Date 02/20/2007
Last Updated 08/17/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DWIGHT B DWIGHT
Position COO
Phone (901) 683-0024
Fax (901) 683-0028
Practice Location
1068 CRESTHAVEN RD
SUITE 300
MEMPHIS TN, 38119-0800, US
Phone (901) 683-0024
Fax (901) 683-0028
Business Location
6063 MOUNT MORIAH ROAD EXT
SUITE 4
MEMPHIS TN, 38115-2644, US
Phone (901) 531-8800
Fax (901) 531-8801
Toxanomy
Taxonomy Code 174400000X
License State Tennessee
License Number MD000035089
Remove 1003951963 NPI Number
 

According to our database, Centrosalud Pc NPI is 1003951963, taxonomy code is 174400000X and license number is MD000035089, license state is located at Tennessee. Centrosalud Pc physically located at 1068 Cresthaven Rd, Memphis TN, 38119-0800. NPI Number 1033115704 has the healthcare provider type.

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1003951963 NPI number is provided on an as is basis without warranty of any kind. 1003951963 is maintained by the National Plan & Provider Enumeration System. The contents of Centrosalud Pc are for informational purposes only.