Organization
LONGMIRE HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LEROY LONGMIRE II FNP-BC (PROVIDER)
(901) 833-7095
Entity
Organization
Contact information
Practice address
1331 UNION AVE STE 1024, MEMPHIS, TN 38104-7509
(901) 833-7095
Mailing address
9160 HIGHWAY 64 STE 12-219, LAKELAND, TN 38002-4766
(901) 833-7095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033644
—
TN
Enumeration date
08/26/2020
Last updated
08/26/2020
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