# HUMPHREYS FAMILY PRACTICE CLINIC

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

## Provider details

- **NPI number:** 1710015045
- **Authorized official:** MRS. NEENA HOWELL (PRACTICE MANAGER)
- **Authorized official phone:** (901) 685-8245

## Contact information

- **Practice address:** 2550 PARK AVENUE SUITE 100, MEMPHIS, TN 38119
- **Practice address phone:** (901) 685-8245
- **Practice address fax:** (901) 685-8248
- **Mailing address:** 2550 PARK AVENUE SUITE 100, MEMPHIS, TN 38119
- **Mailing address phone:** (901) 685-8245
- **Mailing address fax:** (901) 685-8248

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/23/2007