Peabody Family Care, Pc

NPI 1023057437 - Family Medicine - 207Q00000X

NPI Details
NPI 1023057437
Enumeration Date 06/05/2006
Last Updated 10/12/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAM PAM
Position ADMINISTRATOR
Phone (901) 725-0648
Fax (901) 725-1037
Practice Location
1325 EASTMORELAND AVENUE
SUITE 150
MEMPHIS TN, 38104-3519, US
Phone (901) 725-0648
Fax (901) 725-1037
Business Location
PO BOX 1000 DEPT 297
MEMPHIS TN, 38148-0001, US
Phone (901) 725-0648
Fax (901) 725-1037
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Peabody Family Care, Pc NPI is 1023057437, taxonomy code is 207Q00000X Peabody Family Care, Pc physically located at 1325 Eastmoreland Avenue, Memphis TN, 38104-3519. NPI Number 1033115704 has the healthcare provider type.

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1023057437 NPI number is provided on an as is basis without warranty of any kind. 1023057437 is maintained by the National Plan & Provider Enumeration System. The contents of Peabody Family Care, Pc are for informational purposes only.