SHEA CLINIC is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SHEA CLINIC NPI is 1568427128. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6133 POPLAR PIKE
MEMPHIS, TN
ZIP 38119-707
Phone: (901) 761-9720
Fax: (901) 683-8440
The provider's authorized official is John R Gross .
The authorized official title is Administrator and has the following contact phone number (901) 761-9720.
The CLIA number assigned to this NPI record is 44D0314799 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/18/2006 and was last updated on 4/24/2009.