Organization
GREATER MEMPHIS MOBILE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVELINO G REYES M.D. (OWNER)
(901) 685-5231
Entity
Organization
Contact information
Practice address
5225 GLYNBOURNE PL, MEMPHIS, TN 38117-4564
(901) 685-5231
Mailing address
5225 GLYNBOURNE PL, MEMPHIS, TN 38117-4564
(901) 685-5231
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD16093
TN
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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