Organization
ASC MEMPHIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS NICHOLS (AR DIRECTOR)
(586) 498-9440
Entity
Organization
Contact information
Practice address
995 S YATES RD, MEMPHIS, TN 38119-0882
(901) 681-9820
Mailing address
111 S HIGHLAND ST # 413, MEMPHIS, TN 38111-4640
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
06/26/2008
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