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Organization

PENTACARE HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA OIGBOKIE DNP, APRN, FNP-C (OWNER)
(901) 569-0208
Entity
Organization

Contact information

Practice address
10441 EMMAS CIR S, COLLIERVILLE, TN 38017-4186
(901) 490-6211
Mailing address
10441 EMMAS CIR S, COLLIERVILLE, TN 38017-4186
(901) 490-6211

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033765730
CMS
TN
01
1093247801
CMS
TN
Enumeration date
03/13/2023
Last updated
03/13/2023
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Product
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