Organization
THE FATIGUE CLINIC LLC
Active
Organization
THE FATIGUE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN D EARL ACNP (OWNER/PROVIDER)
(901) 221-8621
Entity
Organization
Contact information
Practice address
890 W POPLAR AVE STE 6, COLLIERVILLE, TN 38017-2582
(901) 221-8621
(901) 221-8631
Mailing address
890 W POPLAR AVE STE 6, COLLIERVILLE, TN 38017-2582
(901) 221-8621
(901) 221-8631
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
12687
TN
Other
Enumeration date
11/22/2011
Last updated
08/13/2020
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