Collierville Family Health PLLC
Family Medicine in Collierville, TN. Organization (NPI-2).
NPI number1891069563
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1891069563
- Entity type
- Organization (NPI-2)
- Legal business name
- Collierville Family Health PLLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2012
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2028 W Poplar AveSuite 115
Collierville, TN 38017-0618
Phone 901-221-8983 · Fax 901-221-8985
Mailing address
2028 W Poplar AveSuite 115
Collierville, TN 38017-0618
Phone 901-221-8983 · Fax 901-221-8985
Authorized official
Shoaib Qureshi
Owner/ Sole Member
9012218983
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