Organization
METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES
Active
Parent organization
METHODIST LEBONHEUR HEATLHCARE
Other names
Methodist Healthcare Sleep Disorders Center-Desoto
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST LEBONHEUR HEATLHCARE
Authorized official
MR. DOUG STOVER (ADMINISTRATIVE DIRECTOR)
(901) 516-1724
Entity
Organization
Contact information
Practice address
6400 SHELBY VIEW DR, SUITE 101, MEMPHIS, TN 38134-7659
(901) 516-1489
(901) 380-8081
Mailing address
5480 GOODMAN RD, SUITE 3, OLIVE BRANCH, MS 38654-7902
(901) 516-1489
(901) 380-8081
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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