Organization
MID SOUTH MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE DENDRINOS (GENERAL MANAGER)
(901) 291-2427
Entity
Organization
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 291-2400
Mailing address
PO BOX 341348, BARTLETT, TN 38184-1348
(901) 291-2400
(901) 379-0771
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
08/16/2005
Last updated
08/01/2007
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