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Organization
MOSCOW FAMILY MEDICAL,LLC
Active
Organization
MOSCOW FAMILY MEDICAL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZELMA ALLEN NP (OWNER)
(901) 877-3070
Entity
Organization
Contact information
Practice address
13775 HIGHWAY 57 STE 4, MOSCOW, TN 38057-3802
(901) 877-3070
Mailing address
13775 HIGHWAY 57 STE 4, MOSCOW, TN 38057-3802
(901) 877-3070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/18/2019
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