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Organization

UNIVERSITY OF MEMPHIS

Active
Other names
Mid-South ACT
Organization subpart
No

Provider details

NPI number
Authorized official
LAVONNIE PERRY-CLAYBON (DIRECTOR)
(901) 678-1489
Entity
Organization

Contact information

Practice address
119 PATTERSON HALL, MAIN OFFICE, MEMPHIS, TN 38152-3510
(901) 678-1489
(901) 678-3215
Mailing address
119 PATTERSON HALL, MAIN OFFICE, MEMPHIS, TN 38152-3510
(901) 678-1489
(901) 678-3215

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
01/18/2008
Last updated
01/18/2008
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