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Organization
KEYSTONE MEDICAL SERVICES OF WEST POINT INC
Active
Organization
KEYSTONE MEDICAL SERVICES OF WEST POINT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN ADA,S (PRESIDENT)
(901) 795-3600
Entity
Organization
Contact information
Practice address
6075 POPLAR AVENUE, SUITE 401, MEMPHIS, TN 38119-0114
(901) 795-3600
(901) 795-6060
Mailing address
6075 POPLAR AVENUE, SUITE 401, MEMPHIS, TN 38119-0114
(901) 795-3600
(901) 795-6060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/30/2016
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