Organization
NORTHSTAR HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY BLEVINS (NATIONAL DIRECTOR OF OPERATIONS)
(901) 378-3561
Entity
Organization
Contact information
Practice address
1540 APPLING CARE LN STE 100, CORDOVA, TN 38016-4947
(901) 202-0735
(901) 800-2487
Mailing address
1540 APPLING CARE LN STE 105, CORDOVA, TN 38016-4947
(901) 378-3561
(901) 444-3866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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