Organization
LIFELINC INTERVENTIONAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATARSHA GRANT MD (PRESIDENT)
(901) 844-1590
Entity
Organization
Contact information
Practice address
1331 UNION AVE STE 927, MEMPHIS, TN 38104-7555
(901) 844-1590
(901) 844-1592
Mailing address
1331 UNION AVE STE 927, MEMPHIS, TN 38104-7555
(901) 844-1590
(901) 844-1592
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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