Organization
GERMANTOWN INTERNAL MEDICINE ASSOCIATES,PC
Active
Organization
GERMANTOWN INTERNAL MEDICINE ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA F EDMISTON (ADMINISTRATOR)
(901) 340-6777
Entity
Organization
Contact information
Practice address
7645 WOLF RIVER CIR, SUITE 202, GERMANTOWN, TN 38138-1751
(901) 348-6487
(901) 791-0338
Mailing address
PO BOX 2121, DEPT 1298, MEMPHIS, TN 38159-0001
(901) 348-6487
(901) 791-0338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD027101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3711639T
—
TN
Enumeration date
07/15/2006
Last updated
01/23/2008
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