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Organization

FELICIA T DILLON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. FELICIA TASHAWN DILLON (PRESIDENT)
(901) 458-5010
Entity
Organization

Contact information

Practice address
2552 POPLAR AVE, STE 4L, MEMPHIS, TN 38112-3852
(901) 458-5010
(901) 324-0738
Mailing address
2552 POPLAR AVE, STE 4L, MEMPHIS, TN 38112-3852
(901) 458-5010
(901) 324-0738

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1454994
TN
Enumeration date
06/18/2006
Last updated
10/14/2008
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