Organization
ADULT PRIMARY CARE OF MEMPHIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD I ABUTINEH M.D. (OWNER)
(901) 761-6157
Entity
Organization
Contact information
Practice address
6263 POPLAR AVE, SUITE 1052, MEMPHIS, TN 38119-4701
(901) 761-6157
Mailing address
PO BOX 338, MEMPHIS, TN 38101-0338
(901) 761-6157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD29209
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4059600
BCBS OF TN
TN
Enumeration date
09/06/2007
Last updated
10/23/2007
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