Organization · NPI-2

Adult Primary Care Of Memphis PC

Internal Medicine · Memphis, TN

NPI number1376738906
StatusActive
Last updated in NPPESOct 23, 2007

Details

NPI
1376738906
Entity type
Organization (NPI-2)
Legal business name
Adult Primary Care Of Memphis PC
Organization subpart
No
Enumeration date
Sep 6, 2007
Last updated
Oct 23, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD29209TNYes

Practice location

6263 Poplar Ave
Suite 1052
Memphis, TN 38119-4701

Phone 901-761-6157

Mailing address

Po Box 338
Memphis, TN 38101-0338

Phone 901-761-6157

Authorized official

Mohammad I Abutineh
Owner
9017616157

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