Organization
MEMORIAL MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
3331 W DEYOUNG ST, SUITE 105, MARION, IL 62959-5896
(618) 997-9496
Mailing address
1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
(152) 221-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
07/19/2005
Last updated
07/07/2023
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