Organization
HIGHLAND MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ALVIN AVERY (ADMINISTRATOR)
(901) 261-0706
Entity
Organization
Contact information
Practice address
3445 POPLAR AVE STE 13, MEMPHIS, TN 38111-4667
(901) 261-0706
Mailing address
3445 POPLAR AVE STE 13, MEMPHIS, TN 38111-4667
(901) 261-0706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/08/2016
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