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COLLIERVILLE FAMILY MEDICINE PC NPI 1669794574


NPI Information

NPI: 1669794574
Provider Name: COLLIERVILLE FAMILY MEDICINE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1500 W POPLAR AVE
SUITE 310
COLLIERVILLE, TN
ZIP 38017
Phone: (901) 457-7060
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COLLIERVILLE FAMILY MEDICINE PC is a family medicine in Collierville, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COLLIERVILLE FAMILY MEDICINE PC NPI is 1669794574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 W POPLAR AVE
SUITE 310
COLLIERVILLE, TN
ZIP 38017-601
Phone: (901) 457-7060
Fax: (901) 457-7062

The provider's authorized official is Sowmya Brahmadevi .
The authorized official title is Owner and has the following contact phone number (901) 457-7060.

The enumeration date for this NPI number is 2/18/2010 and was last updated on 11/26/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 5/5/2024

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