Organization
MEDSOUTH
Active
Other names
SouthMEd
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THACRA GOLDE (OWNER)
(901) 497-1543
Entity
Organization
Contact information
Practice address
4745 POPLAR AVE, SUITE # 303, MEMPHIS, TN 38117-4430
(901) 497-1543
(888) 499-4391
Mailing address
6025 STAGE RD, SUITE # 42-372, MEMPHIS, TN 38134-8374
(901) 497-1543
(888) 499-4391
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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