Organization
SHOT NURSE-MEMPHIS, P.C.
Active
Other names
The Shot Nurse
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH OVERALL RN (VICE-PRESIDENT)
(901) 685-9999
Entity
Organization
Contact information
Practice address
7596 W FARMINGTON BLVD, GERMANTOWN, TN 38138-2809
(901) 685-9999
(901) 767-8388
Mailing address
4637 POPLAR AVE, MEMPHIS, TN 38117-4419
(901) 685-9999
(901) 767-8388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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