Organization
MID SOUTH AMBULATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYRA ZANDERS TAYLOR (OWNER, MEMBER)
(901) 237-9791
Entity
Organization
Contact information
Practice address
5628 MURRAY AVE STE 1, MEMPHIS, TN 38119-3876
(901) 237-9791
Mailing address
5628 MURRAY AVE STE 1, MEMPHIS, TN 38119-3876
(901) 237-9791
(901) 257-7097
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/27/2014
Last updated
04/17/2021
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