Amy Elise Funderburk Mock in Memphis - Internal Medicine
Amy Elise Funderburk Mock - NPI 1114919370
Amy Elise Funderburk Mock is a Internal Medicine in Memphis, Tennessee. Amy Elise Funderburk Mock practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Amy Elise Funderburk Mock is 1114919370. The last update date is 2023-11-30.
Amy Elise Funderburk Mock's current location address is Po Box 770390, Memphis, Tennessee. You can contact this provider via phone number 9018441431. The mailing address for Amy Elise Funderburk Mock is Po Box 770390, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amy Elise Funderburk Mock |
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Address | Po Box 770390, Memphis, Tennessee |
Phone Number | 9018441431 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1114919370 |
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Provider Enumeration Date | 2005-08-15 |
Last Updated Date | 2023-11-30 |
Provider Mailing Address Detail
Address | Po Box 770390 |
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City | Memphis |
State | Tennessee (TN) |
Post Code | 381770390 |
Phone Number | 9018441431 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | MD31772 |
Definition: 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 di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3843367 | TN | -- |
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What is the unique 10-digit identification code issued to Amy Elise Funderburk Mock by the Centers for Medicare & Medicaid Services?
The Amy Elise Funderburk Mock has been assigned the NPI (National Provider Identifier) 1114919370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Amy Elise Funderburk Mock is physically located?
The Amy Elise Funderburk Mock is situated at the following address: Po Box 770390, Memphis, TN 381770390.
What is Amy Elise Funderburk Mock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Amy Elise Funderburk Mock is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When was the Amy Elise Funderburk Mock's 1114919370 issued?
The Amy Elise Funderburk Mock's 1114919370 was issued on 2005-08-15.
When was the information regarding Amy Elise Funderburk Mock most recently updated?
The details pertaining to the Amy Elise Funderburk Mock, including its address, specialty, and other relevant information, were last refreshed on 2023-11-30.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN