Organization · NPI-2
Better Body Memphis LLC
Clinic/Center · Memphis, TN
NPI number1679071906
StatusActive
Last updated in NPPESFeb 1, 2018
Details
- NPI
- 1679071906
- Entity type
- Organization (NPI-2)
- Legal business name
- Better Body Memphis LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2018
- Last updated
- Feb 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1417 Monroe AveMemphis, TN 38104-3634
Phone 901-272-7200 · Fax 901-272-0820
Mailing address
1417 Monroe AveMemphis, TN 38104-3634
Phone 901-272-7200 · Fax 901-272-0820
Authorized official
Seandria F Evans
Administrator
9012727200
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