Injury Medical Center Of Memphis

NPI 1194062307 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1194062307
Enumeration Date 01/08/2013
Last Updated 01/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KELLY DIANNE KELLY
Position PRESIDENT/ OWNER
Phone (901) 377-2334
Fax (901) 377-0912
Practice Location
2832 COLEMAN RD
MEMPHIS TN, 38128-5815, US
Phone (901) 377-2334
Fax (901) 377-0912
Business Location
2832 COLEMAN RD
MEMPHIS TN, 38128-5815, US
Phone (901) 377-2334
Fax (901) 377-0912
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Injury Medical Center Of Memphis NPI is 1194062307, taxonomy code is 302R00000X Injury Medical Center Of Memphis physically located at 2832 Coleman Rd, Memphis TN, 38128-5815. NPI Number 1033115704 has the healthcare provider type.

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1194062307 NPI number is provided on an as is basis without warranty of any kind. 1194062307 is maintained by the National Plan & Provider Enumeration System. The contents of Injury Medical Center Of Memphis are for informational purposes only.