Organization
ADULT MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD M DRAKE MD (MANAGER)
(901) 685-9165
Entity
Organization
Contact information
Practice address
6025 WALNUT GROVE RD, 417, MEMPHIS, TN 38120-2131
(901) 685-9165
(901) 685-1481
Mailing address
6025 WALNUT GROVE RD, 417, MEMPHIS, TN 38120-2131
(901) 685-9165
(901) 685-1481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD0000022218
TN
207R00000X
Internal Medicine Physician
MD11043
TN
207R00000X
Internal Medicine Physician
MD27722
TN
207R00000X
Internal Medicine Physician
MD34107
TN
207R00000X
Internal Medicine Physician
Primary
MD3791
TN
Other
Enumeration date
07/01/2006
Last updated
01/02/2008
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