Organization
MIDSOUTH PRIMARY CARE PC
Active
Organization
MIDSOUTH PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALKA KAMO (OFFICE MANAGER)
(901) 240-8294
Entity
Organization
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 240-8294
(901) 751-7054
Mailing address
84 HAWK GLADE CV, CORDOVA, TN 38018-7763
(901) 240-8294
(901) 751-7054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TN0000030512
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3826065
—
TN
Enumeration date
08/05/2006
Last updated
08/07/2019
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