Organization
VIRGINIA PHS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA NOAH (REVENUE CYCLE MANAGER)
(901) 261-4843
Entity
Organization
Contact information
Practice address
7001 LOISDALE RD, SPRINGFIELD BUSINESS CENTER, SPRINGFIELD, VA 22150-1904
(877) 260-4747
Mailing address
9155 CRESTWYN HILLS DR, MEMPHIS, TN 38125-8501
(901) 261-4848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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