Organization
MEMPHIS FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS DAVIS (CLINIC ADMINISTRATOR)
(901) 590-2202
Entity
Organization
Contact information
Practice address
5818 WINCHESTER RD, MEMPHIS, TN 38115-4711
(901) 590-2202
(901) 433-9326
Mailing address
5818 WINCHESTER RD, MEMPHIS, TN 38115-4711
(901) 590-2022
(901) 433-9326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104879329
FNP
—
01
—
1568571404
MD
—
01
—
P90840
UPIN
—
05
—
Q050044
—
TN
Enumeration date
09/11/2020
Last updated
11/05/2021
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