MORE 901 LLC NPI 1003647769

NPI Information

  • NPI: 1003647769
  • Provider Name: MORE 901 LLC
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 1407 UNION AVE STE 1401
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 701-1777

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NPI Details

MORE 901 LLC is a gynecology obstetrics gynecology in Memphis, TN. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MORE 901 LLC NPI is 1003647769. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1407 UNION AVE STE 1401
MEMPHIS, TN
ZIP 38104-667
Phone: (901) 701-1777
Fax: (901) 701-1778

The provider's authorized official is Susan Northern Lacy .
The authorized official title is Owner Md and has the following contact phone number (901) 701-1777.

The enumeration date for this NPI number is 8/13/2024 and was last updated on 8/13/2024.

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
1207VG0400XObstetrics & GynecologyGynecologyYes

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: 3/30/2025

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