Organization
GRACE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE M HIGHTOWER M.D. (OWNER)
(901) 754-3200
Entity
Organization
Contact information
Practice address
2900 KIRBY RD, SUITE 14, MEMPHIS, TN 38119-8221
(901) 754-3200
Mailing address
PO BOX 750183, MEMPHIS, TN 38175-0183
(901) 754-3200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
32177
TN
Other
Enumeration date
01/09/2007
Last updated
08/15/2007
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