Organization
GRASSDALE MED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. OLIVER BANKS III (PRESIDENT)
(615) 815-7673
Entity
Organization
Contact information
Practice address
3937 MINDEN RD, MEMPHIS, TN 38111-7707
(615) 815-7673
Mailing address
3937 MINDEN RD, MEMPHIS, TN 38111-7707
(615) 815-7673
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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