Organization · NPI-2

A1 Family Physicians

Family Medicine · Memphis, TN

NPI number1104640564
StatusActive
Last updated in NPPESJan 16, 2025

Details

NPI
1104640564
Entity type
Organization (NPI-2)
Legal business name
A1 Family Physicians
Organization subpart
No
Enumeration date
Nov 12, 2024
Certification date
Jan 16, 2025
Last updated
Jan 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
103T00000X Psychologist––
133V00000X Dietitian, Registered––
171400000X Health & Wellness Coach––
207RN0300X Internal Medicine, Nephrology––
208000000X Pediatrics––
363A00000X Physician Assistant––
363LF0000X Nurse Practitioner, Family––

Practice location

890 Garland St
Memphis, TN 38107-4429

Phone 901-673-3111

Mailing address

890 Garland St
Memphis, TN 38107-4429

Phone 901-643-3556

Authorized official

Andrea L Ivory Fuller
President
9016733111

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