NPI 1558772806

Eagle Medical Staffing, LLC

Organisation Preferred Provider Organization Cordova, TN

Practice location

Address: 1175 Vickery Ln, Cordova, TN 38016-0682
Phone: (901) 737-3990
Fax: (901) 737-9836

Authorised official

Name: Tamara Lashon Perry
Title: Administrator
Phone: (901) 737-3990

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0247 (TN)

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Registry record

NPI: 1558772806
Entity type: Organization
NPI issued: 8 May 2014
Record last updated: 8 May 2014

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.