Organization
CABALLERO FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHLEEN SULLIVAN DNP, FNP (FAMILY NURSE PRACTITIONER)
(901) 751-9997
Entity
Organization
Contact information
Practice address
1920 KIRBY PKWY STE 202, GERMANTOWN, TN 38138-3697
(901) 751-9997
(901) 751-1344
Mailing address
1920 KIRBY PKWY STE 202, GERMANTOWN, TN 38138-3697
(901) 751-9997
(901) 751-1344
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APN12894
TN
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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