Organization
KEYSTONE MEDICAL SERVICES OF WEST POINT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN ADA,S (PRESIDENT)
(901) 795-3600
Entity
Organization
Contact information
Practice address
6075 POPLAR AVENUE, SUITE 401, MEMPHIS, TN 38119-0114
(901) 795-3600
(901) 795-6060
Mailing address
6075 POPLAR AVENUE, SUITE 401, MEMPHIS, TN 38119-0114
(901) 795-3600
(901) 795-6060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/30/2016
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