Organization
GERIATRIC GROUP OF MEMPHIS,PLLC
Active
Other names
Geriatric Group of Memphis, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY WREN MCCALLA (OPERATIONS MGR)
(901) 725-0872
Entity
Organization
Contact information
Practice address
2714 UNION AVENUE EXT, SUITE 150, MEMPHIS, TN 38112-4436
(901) 725-0872
(901) 278-6934
Mailing address
2714 UNION AVENUE EXT, SUITE 150, MEMPHIS, TN 38112-4436
(901) 725-0872
(901) 278-6934
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726736
—
TN
Enumeration date
07/05/2005
Last updated
04/07/2016
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