# LONGMIRE HEALTH GROUP

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

## Provider details

- **NPI number:** 1538772868
- **Authorized official:** MR. JAMES LEROY LONGMIRE II FNP-BC (PROVIDER)
- **Authorized official phone:** (901) 833-7095

## Contact information

- **Practice address:** 1331 UNION AVE STE 1024, MEMPHIS, TN 38104-7509
- **Practice address phone:** (901) 833-7095
- **Mailing address:** 9160 HIGHWAY 64 STE 12-219, LAKELAND, TN 38002-4766
- **Mailing address phone:** (901) 833-7095

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 08/26/2020