NPI 1033604574

Clinic LLC

Organisation General Practice Physician Memphis, TN

Practice location

Address: 3393 Kirby Rd, Memphis, TN 38115-4253
Phone: (901) 542-0864
Mailing address: 1011 W Poplar Ave STE 5, Collierville, TN 38017-2577

Authorised official

Name: David Conner
Title: Owner
Phone: (901) 270-9145

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Tennessee →

Registry record

NPI: 1033604574
Entity type: Organization
NPI issued: 27 Jun 2018
Record last updated: 25 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.