# MED CLINIC OF MEMPHIS

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

## Provider details

- **NPI number:** 1366979668
- **Authorized official:** EMMA CULL (COO)
- **Authorized official phone:** (678) 469-5011

## Contact information

- **Practice address:** 5084 OLD SUMMER RD STE A, MEMPHIS, TN 38122-4403
- **Practice address phone:** (901) 531-8264
- **Mailing address:** 5821 SOUTHWEST FWY STE 550, HOUSTON, TX 77057-7531
- **Mailing address phone:** (901) 708-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2017
- **Last updated:** 05/17/2017