# MEMPHIS FAMILY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144835539
- **Authorized official:** DAMARIS DAVIS (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (901) 590-2202

## Contact information

- **Practice address:** 5818 WINCHESTER RD, MEMPHIS, TN 38115-4711
- **Practice address phone:** (901) 590-2202
- **Practice address fax:** (901) 433-9326
- **Mailing address:** 5818 WINCHESTER RD, MEMPHIS, TN 38115-4711
- **Mailing address phone:** (901) 590-2022
- **Mailing address fax:** (901) 433-9326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/11/2020
- **Last updated:** 11/05/2021
