Organization
ELITE MENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TAYLOR (OWENER)
(901) 238-0384
Entity
Organization
Contact information
Practice address
263 S MAIN ST, MEMPHIS, TN 38103-3907
(901) 238-0384
Mailing address
263 S MAIN ST, MEMPHIS, TN 38103-3907
(901) 238-0384
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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