Organization
AGELESS MEN'S HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization
Contact information
Practice address
4515 POPLAR AVE STE 131, MEMPHIS, TN 38117-7520
(901) 507-8040
Mailing address
4515 POPLAR AVE STE 131, MEMPHIS, TN 38117-7520
(901) 507-8040
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
44D1072470
TN
Other
Enumeration date
12/03/2007
Last updated
11/11/2024
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