# FARRAGUT INPATIENT SERVICES PLLC

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

## Provider details

- **NPI number:** 1356917306
- **Authorized official:** KATHLEEN KONDAS (AO)
- **Authorized official phone:** (973) 251-1132

## Contact information

- **Practice address:** 5959 PARK AVE, MEMPHIS, TN 38119-5200
- **Practice address phone:** (901) 765-1000
- **Mailing address:** 5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
- **Mailing address phone:** (973) 251-1132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2021
- **Last updated:** 06/01/2021