DEDICATED PHYSICIANS GROUP OF TENNESSEE PLLC NPI 1922634575

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 1922634575. The provider is registered as an organization entity type.
The provider Is Doing Business As Dedicated Senior Medical Center Lamar Airways.

The provider's business location address is:

2252 LAMAR AVE
MEMPHIS, TN
ZIP 38114-608
Phone: (901) 671-1800

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 44D2188080 - 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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