DEDICATED PHYSICIANS GROUP OF TENNESSEE PLLC NPI 1245866896

NPI Information

DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC 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.) DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC NPI is 1245866896. The provider is registered as an organization entity type.
The provider Is Doing Business As Dedicated Senior Medical Center Southeast Memphis.

The provider's business location address is:

5131 QUINCE RD
MEMPHIS, TN
ZIP 38117-846
Phone: (901) 440-3044

The provider's authorized official is Mary Chen .
The authorized official title is Exec Officer and has the following contact phone number (305) 628-6117.

The CLIA number assigned to this NPI record is 44D2188082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2020 and was last updated on 12/24/2020.

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:

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