Organization
PRIMARY HEALTHCARE OF MILLINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA S LINDSEY MD (PHYSICIAN OWNER)
(901) 873-4501
Entity
Organization
Contact information
Practice address
4772 NAVY RD, MILLINGTON, TN 38053-1927
(901) 873-4501
(901) 873-4501
Mailing address
4772 NAVY RD, MILLINGTON, TN 38053-1927
(901) 873-4501
(901) 873-4505
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
18070
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374920
—
TN
01
—
4040083
BCBS
TN
05
—
4040083
—
TN
Enumeration date
09/08/2005
Last updated
06/21/2018
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