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MEMPHIS PRIMARY CARE & WELLNESS ASSOCIATES NPI 1366509721


NPI Information

NPI: 1366509721
Provider Name: MEMPHIS PRIMARY CARE & WELLNESS ASSOCIATES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
7645 WOLF RIVER CIR STE 100
GERMANTOWN, TN
ZIP 38138
Phone: (901) 405-0275
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MEMPHIS PRIMARY CARE & WELLNESS ASSOCIATES is an internal medicine in Germantown, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MEMPHIS PRIMARY CARE & WELLNESS ASSOCIATES NPI is 1366509721. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7645 WOLF RIVER CIR STE 100
GERMANTOWN, TN
ZIP 38138-751
Phone: (901) 405-0275
Fax: (901) 405-0288

The provider's authorized official is Loretta Mosiej Brown .
The authorized official title is Office Administrator and has the following contact phone number (901) 405-0275.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/9/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
32084P0005XPsychiatry & NeurologyNeurodevelopmental DisabilitiesNo
4207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C03068MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPICAHABA
23715314MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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

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