# PRIMARY CARE SPECIALISTS

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

## Provider details

- **NPI number:** 1760551832
- **Authorized official:** MARY ELLEN JENSEN (OFFICE MANAGER)
- **Authorized official phone:** (901) 567-3414

## Contact information

- **Practice address:** 3109 WALNUT GROVE ROAD, MEMPHIS, TN 38111-3509
- **Practice address phone:** (901) 515-4842
- **Practice address fax:** (901) 458-0405
- **Mailing address:** PO BOX 1726, MEMPHIS, TN 38101-1726
- **Mailing address phone:** (901) 515-4842
- **Mailing address fax:** (901) 458-0405

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 01/12/2021