Organization
THREE M PROSTHETICS
Active
Other names
MPower Health
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL TATE BOCP, CO (CEO)
(901) 818-3175
Entity
Organization
Contact information
Practice address
1661 INTERNATIONAL PLACE DR STE 400, MEMPHIS, TN 38120-1431
(901) 818-3175
Mailing address
1661 INTERNATIONAL PLACE DR STE 400, MEMPHIS, TN 38120-1431
(901) 818-3175
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q060654
TN MEDICAID ID
TN
Enumeration date
05/18/2021
Last updated
05/18/2021
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