Organization
EASTMORELAND INTERNAL MEDICINE MPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCHELLE THORPE (ADMINISTRATOR)
(901) 729-3740
Entity
Organization
Contact information
Practice address
1325 EASTMORELAND AVENUE, STE 245, MEMPHIS, TN 38104
(901) 729-3700
(901) 729-3750
Mailing address
1325 EASTMORELAND AVENUE, STE 245, MEMPHIS, TN 38104
(901) 729-3700
(901) 729-3750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371661
—
TN
Enumeration date
04/26/2006
Last updated
06/17/2010
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