Graceland Internal Medicine in Memphis - Internal Medicine

Graceland Internal Medicine - NPI 1851317333

Graceland Internal Medicine is a Internal Medicine in Memphis, Tennessee. Graceland Internal Medicine practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Graceland Internal Medicine is 1851317333. The last update date is 2020-08-22.

Graceland Internal Medicine's current location address is 1264 Wesley Dr, Memphis, Tennessee. You can contact this provider via phone number 9013963061 and fax number 9013967841. The mailing address for Graceland Internal Medicine is 1264 Wesley Dr, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Graceland Internal Medicine
Address 1264 Wesley Dr, Memphis, Tennessee
Phone Number 9013963061
Fax Number 9013967841
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Edmiston F Theresa
Telephone Number 9013406777

NPI Number Detail

NPI Number 1851317333
Provider Enumeration Date 2006-07-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1264 Wesley Dr
City Memphis
State Tennessee (TN)
Post Code 381166400
Phone Number 9013963061
Fax Number 9013967841

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD010326
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
3372151 TN --

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FAQs about Graceland Internal Medicine

What is the Graceland Internal Medicine's unique identification number?

The Graceland Internal Medicine has been assigned the NPI (National Provider Identifier) Number 1851317333 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Graceland Internal Medicine's physical address?

The Graceland Internal Medicine is physically located at 1264 Wesley Dr, in the city of Memphis, TN, with the postal code 381166400.

What is Graceland Internal Medicine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Graceland Internal Medicine is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Graceland Internal Medicine receive its 1851317333 assignment from the Centers for Medicare & Medicaid Services?

The Graceland Internal Medicine was assigned its 1851317333 by the Centers for Medicare & Medicaid Services on 2006-07-15.

As of what date was the information pertaining to Graceland Internal Medicine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Graceland Internal Medicine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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