Organization
POPLAR PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUMERSINDO LEAL MD (OWNER)
(901) 323-7651
Entity
Organization
Contact information
Practice address
3445 POPLAR AVE, SUITE100, MEMPHIS, TN 38111-4667
(901) 323-7651
Mailing address
3445 POPLAR AVE, SUITE100, MEMPHIS, TN 38111-4667
(901) 323-7651
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
26031
TN
Other
Enumeration date
03/28/2008
Last updated
06/24/2008
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