Organization
NEW HAMPSHIRE PHS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SMITH (CEO)
(901) 261-4848
Entity
Organization
Contact information
Practice address
1950 LAFAYETTE RD, SUITE 201 BOX 1, PORTSMOUTH, NH 03801-8663
(901) 261-4848
(901) 261-4867
Mailing address
9155 CRESTWYN HILLS DR, MEMPHIS, TN 38125-8501
(901) 261-4848
(901) 261-4867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2010
Last updated
09/13/2011
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