Organization
ALPHA MAXX HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES GREEN JR. (PRESIDENT)
(901) 259-5341
Entity
Organization
Contact information
Practice address
1407 UNION AVE, SUITE 802, MEMPHIS, TN 38104-3627
(901) 259-5341
(901) 259-5344
Mailing address
2095 EXETER RD, SUITE 80, GERMANTOWN, TN 38138-3946
(901) 259-5341
(901) 259-5344
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
12/02/2010
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