Organization · NPI-2

901 Health, PLLC

Family Medicine · Memphis, TN

NPI number1043860448
StatusActive
Last updated in NPPESSep 17, 2019

Details

NPI
1043860448
Entity type
Organization (NPI-2)
Legal business name
901 Health, PLLC
Organization subpart
No
Enumeration date
Sep 17, 2019
Last updated
Sep 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207V00000X Obstetrics & Gynecology––

Practice location

3068 Covington Pike Ste 3
Memphis, TN 38128-5001

Phone 901-831-6905 · Fax 901-364-6309

Mailing address

3068 Covington Pike Ste 3
Memphis, TN 38128-5001

Phone 901-831-6905 · Fax 901-364-6309

Authorized official

John Rocco Macmillan Rodney
Medical Director
9018316905

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