Organization
VETERANS ADMINISTRATION MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE LYNN SULLIVAN (PHYSICAL THERAPIST ASSISTANT)
(901) 523-8990
Entity
Organization
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2028
TN
Other
Enumeration date
07/15/2006
Last updated
07/21/2022
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