# THE MYERS CLINIC LLC

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

## Provider details

- **NPI number:** 1295093821
- **Authorized official:** DR. RICHARD KELLEY MYERS MD (MD/OWNER)
- **Authorized official phone:** (901) 752-9009

## Contact information

- **Practice address:** 1265 UNION AVE, MEMPHIS, TN 38104-3415
- **Practice address phone:** (901) 752-9009
- **Practice address fax:** (901) 756-8541
- **Mailing address:** 70 RIVER HEIGHTS DR, APT 304, MEMPHIS, TN 38103-6967
- **Mailing address fax:** (901) 756-8541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 12/04/2012
