Organization
PREVENTIVEMD, PLLC
Active
Parent organization
PREVENTIVEMD, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVENTIVEMD, PLLC
Authorized official
TIFFANY WRIGHT-MATTHEWS (CEO)
(901) 201-5675
Entity
Organization
Contact information
Practice address
4066 SUMMER AVE, MEMPHIS, TN 38122-5262
(901) 452-7391
Mailing address
4066 SUMMER AVE, MEMPHIS, TN 38122-5262
(901) 452-7391
(901) 545-5088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/27/2024
Last updated
04/14/2026
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