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Organization
TOTAL HEALTH MEDICAL CLINIC, LLC
Active
Organization
TOTAL HEALTH MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE HARRIS FNP (FNP/CO-OWNER)
(901) 610-3135
Entity
Organization
Contact information
Practice address
1204 W POPLAR AVE, SUITE 102, COLLIERVILLE, TN 38017-3103
(901) 610-3135
Mailing address
1204 W POPLAR AVE, SUITE 102, COLLIERVILLE, TN 38017-3103
(901) 610-3135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18449
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018654
—
TN
Enumeration date
09/02/2015
Last updated
02/19/2016
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