Organization · Type 2 NPI

Dedicated Physicians Group of Tennessee, PLLC

Non-Pharmacy Dispensing Site · Memphis, TN

NPI number 1891328993 Active

Practice location

1056 E Raines Rd
Memphis, TN 38116-6337

Call (901) 300-5777 Map

Mailing address

1395 NW 167th St
Miami, FL 33169-5710

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

21 other providers at this address

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NPI record

NPI: 1891328993
Entity type: Organization (Type 2)
Issued: Feb 17, 2020
Last updated: Dec 24, 2020
Status: Active
Subpart: Yes of Dedicated Physicians Group of Tennessee, PLLC

Other names

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Dedicated Senior Medical Center Graceland · doing business as
Dedicated Senior Medical Center Graceland · doing business as

Authorized official

Mary Chen
Exec. Officer
(305) 628-6117

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891328993

Dedicated Physicians Group of Tennessee, PLLC's National Provider Identifier is 1891328993, issued on Feb 17, 2020. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Memphis, TN. The record was last updated on Dec 24, 2020.