Organization · NPI-2

Adult Medical Group, PLLC

Internal Medicine · Memphis, TN

NPI number1225067499
StatusActive
Last updated in NPPESJan 2, 2008

Details

NPI
1225067499
Entity type
Organization (NPI-2)
Legal business name
Adult Medical Group, PLLC
Organization subpart
No
Enumeration date
Jul 1, 2006
Last updated
Jan 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD3791TNYes
207Q00000X Family MedicineMD0000022218TN
207R00000X Internal MedicineMD27722TN
207R00000X Internal MedicineMD11043TN
207R00000X Internal MedicineMD34107TN

Practice location

6025 Walnut Grove Rd
417
Memphis, TN 38120-2131

Phone 901-685-9165 · Fax 901-685-1481

Mailing address

6025 Walnut Grove Rd
417
Memphis, TN 38120-2131

Phone 901-685-9165 · Fax 901-685-1481

Authorized official

Arnold M Drake
Manager
9016859165

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