Organization · Type 2 NPI

None

Primary Care Clinic/Center · Memphis, TN

NPI number 1912365149 Active

Practice location

1324 Vinton Ave # 1
Memphis, TN 38104-4558

Call (512) 630-8511 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1912365149

None's National Provider Identifier is 1912365149, issued on Feb 2, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Memphis, TN. The record was last updated on Feb 2, 2016.