Organization
LIFELINC DIRECT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA N WARREN (COO)
(901) 844-1590
Entity
Organization
Contact information
Practice address
2207 MOODY RIDGE RD, SCOTTSBORO, AL 35768-4113
(256) 912-0341
(256) 912-0341
Mailing address
3340 PLAYERS CLUB PKWY, SUITE 350, MEMPHIS, TN 38125-8933
(866) 362-6963
(866) 362-4202
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
04/21/2016
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