Organization
METHODIST SPECIALTY PHYSICIAN VI
Active
Organization
METHODIST SPECIALTY PHYSICIAN VI
Active
Parent organization
METHODIST HEALTHCARE PRIMARY CARE
Other names
METHODIST SHOULDER & ORTHOPAEDIC SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST HEALTHCARE PRIMARY CARE
Authorized official
SHARIF A ABDUS-SALAAM MD (AUTHORIZED OFFICIAL)
(202) 421-5138
Entity
Organization
Contact information
Practice address
1264 WESLEY DR, SUITE 302, MEMPHIS, TN 38116-6400
(901) 260-2072
Mailing address
PO BOX 1000, DEPT 970, MEMPHIS, TN 38148-1000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/09/2010
Last updated
05/17/2011
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