THE FAMILY PHYSICIAN GROUP PC NPI 1073539938

NPI Information

THE FAMILY PHYSICIAN GROUP PC is a non pharmacy dispensing site in Memphis, TN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) THE FAMILY PHYSICIAN GROUP PC NPI is 1073539938. The provider is registered as an organization entity type.
The provider Is Doing Business As Herman Wesley Dykes Jr Do.

The provider's business location address is:

7685 WINCHESTER RD STE 101
MEMPHIS, TN
ZIP 38125-202
Phone: (901) 260-9300
Fax: (901) 751-5541

The provider's authorized official is Angie Qualls .
The authorized official title is Administrator and has the following contact phone number (901) 751-5514.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 11/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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