Organization
BMG FAMILY PHYSICIANS GROUP FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DUCKETT (VICE PRESIDENT)
(901) 227-4068
Entity
Organization
Contact information
Practice address
2859 VAN LEER DR, MEMPHIS, TN 38133-4935
(901) 751-5513
(901) 751-5540
Mailing address
2859 VAN LEER DR, MEMPHIS, TN 38133-4935
(901) 751-5513
(901) 751-5540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24112
TN
225100000X
Physical Therapist
05911
TN
363A00000X
Physician Assistant
1314
TN
363LA2200X
Adult Health Nurse Practitioner
17471
TN
363LF0000X
Family Nurse Practitioner
17737
TN
Other
Enumeration date
03/07/2013
Last updated
08/21/2013
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