# GRASSDALE MED PC

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

## Provider details

- **NPI number:** 1730532821
- **Authorized official:** J. OLIVER BANKS III (PRESIDENT)
- **Authorized official phone:** (615) 815-7673

## Contact information

- **Practice address:** 3937 MINDEN RD, MEMPHIS, TN 38111-7707
- **Practice address phone:** (615) 815-7673
- **Mailing address:** 3937 MINDEN RD, MEMPHIS, TN 38111-7707
- **Mailing address phone:** (615) 815-7673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2016
- **Last updated:** 07/13/2016