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Organization
A1 FAMILY PHYSICIANS
Active
Organization
A1 FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L IVORY FULLER CPC (PRESIDENT)
(901) 673-3111
Entity
Organization
Contact information
Practice address
890 GARLAND ST, MEMPHIS, TN 38107-4429
(901) 673-3111
Mailing address
890 GARLAND ST, MEMPHIS, TN 38107-4429
(901) 643-3556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/12/2024
Last updated
01/16/2025
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