Memphis Internal Medicine, Pllc

NPI 1063497519 - Internal Medicine - 207R00000X

NPI Details
NPI 1063497519
Enumeration Date 12/07/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name FREDERICK R FREDERICK
Position CHIEF MANAGER
Phone (901) 684-1322
Fax (901) 682-6368
Practice Location
6005 PARK AVE
SUITE 900B
MEMPHIS TN, 38119-5202, US
Phone (901) 684-1322
Fax (901) 682-6368
Business Location
6005 PARK AVE
SUITE 900B
MEMPHIS TN, 38119-5202, US
Phone (901) 684-1322
Fax (901) 682-6368
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1063497519 NPI Number
 

According to our database, Memphis Internal Medicine, Pllc NPI is 1063497519, taxonomy code is 207R00000X Memphis Internal Medicine, Pllc physically located at 6005 Park Ave, Memphis TN, 38119-5202. NPI Number 1033115704 has the healthcare provider type.

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1063497519 NPI number is provided on an as is basis without warranty of any kind. 1063497519 is maintained by the National Plan & Provider Enumeration System. The contents of Memphis Internal Medicine, Pllc are for informational purposes only.