Geriatric Group Of Memphis, Pllc

LBN: Geriatric Group Of Memphis,Pllc
Geriatric Group Of Memphis, Pllc is an health care organization with primary practice located at 2714 Union Avenue Ext Suite 150, Memphis TN 38112-4436. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Geriatric Group Of Memphis,Pllc can be contacted via phone (901) 725-0872, or through Mccalla, Jenny Wren via phone (901) 725-0872.

Contact Information

Primary practice address
2714 Union Avenue Ext Suite 150 Memphis TN 38112-4436
Phone: (901) 725-0872
Fax: (901) 278-6934
Website:
Map and Directions
Authorized official contact:
Name: Mccalla, Jenny Wren
Phone: (901) 725-0872

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1992702922
LBN Legal business name Geriatric Group Of Memphis,Pllc
DBA Doing business as Geriatric Group Of Memphis, Pllc
Authorized official Mccalla, Jenny Wren
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2005
Last updated Apr 7th, 2016 - about 10 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 1992702922 NPPES
Tennessee MEDICAID 3726736

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