Organization
RADIANT LIFE HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL D BEIS MD (MEDICAL DIRECTOR)
(901) 582-4059
Entity
Organization
Contact information
Practice address
333 S BELLEVUE BLVD, MEMPHIS, TN 38104-3530
(901) 729-2708
(901) 729-2720
Mailing address
1072 WEDGEWOOD ST, MEMPHIS, TN 38111-8138
(901) 582-4059
(901) 726-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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