# GREATER MEMPHIS MOBILE MEDICAL, LLC

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

## Provider details

- **NPI number:** 1780837724
- **Authorized official:** AVELINO G REYES M.D. (OWNER)
- **Authorized official phone:** (901) 685-5231

## Contact information

- **Practice address:** 5225 GLYNBOURNE PL, MEMPHIS, TN 38117-4564
- **Practice address phone:** (901) 685-5231
- **Mailing address:** 5225 GLYNBOURNE PL, MEMPHIS, TN 38117-4564
- **Mailing address phone:** (901) 685-5231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | MD16093 | TN | Yes |

## Other

- **Enumeration date:** 11/03/2008
- **Last updated:** 11/03/2008
