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Organization
TRIUMPH AGILITY CARE, LLC
Active
Organization
TRIUMPH AGILITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA K MCCASKILL FNP-BC (OWNER)
(901) 205-9534
Entity
Organization
Contact information
Practice address
3385 AIRWAYS BLVD STE 219, MEMPHIS, TN 38116-3808
(601) 540-4386
Mailing address
1364 ASHLEY CV, SOUTHAVEN, MS 38671-6426
(601) 540-4386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/29/2023
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