Cresthaven Internal Medicine Associates

LBN: Cresthaven Internal Medicine Associates
Cresthaven Internal Medicine Associates is an health care organization with primary practice located at 6799 Great Oaks Road # 250 Cresthaven Internal Medicine, Memphis TN 38138. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Cresthaven Internal Medicine Associates can be contacted via phone (901) 821-8300, or through Deaton, Timothy via phone (901) 821-8300.

Contact Information

Primary practice address
6799 Great Oaks Road # 250 Cresthaven Internal Medicine Memphis TN 38138
Phone: (901) 821-8300
Fax: (901) 259-9793
Website:
Map and Directions
Authorized official contact:
Name: Deaton, Timothy
Phone: (901) 821-8300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1164489175
LBN Legal business name Cresthaven Internal Medicine Associates
DBA Doing business as
Authorized official Deaton, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164489175 NPPES
Tennessee Other 19006 BCBS

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