GREATER MEMPHIS MOBILE MEDICAL LLC NPI 1780837724

NPI Information

NPI: 1780837724
Provider Name: GREATER MEMPHIS MOBILE MEDICAL, LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
5225 GLYNBOURNE PL
MEMPHIS, TN
ZIP 38117
Phone: (901) 685-5231
Get Directions

GREATER MEMPHIS MOBILE MEDICAL, LLC is an adult medicine family medicine in Memphis, TN. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. GREATER MEMPHIS MOBILE MEDICAL, LLC NPI is 1780837724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5225 GLYNBOURNE PL
MEMPHIS, TN
ZIP 38117-564
Phone: (901) 685-5231

The provider's authorized official is Avelino G Reyes .
The authorized official title is Owner and has the following contact phone number (901) 685-5231.

The enumeration date for this NPI number is 11/3/2008 and was last updated on 11/3/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	MD16093	TENNESSEE	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A73584	MEDICARE UPIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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