MEDICARE: CG&T SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1902538259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CG&T SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4968 WILLIAM ARNOLD RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4238
Country	:	US
Telephone Number	:	901-767-8077
Fax Number	:	901-767-8861

Provider Business Practice Location Address
First Line	:	4968 WILLIAM ARNOLD RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4238
Country	:	US
Telephone Number	:	901-767-8077
Fax Number	:	901-767-8861

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD HATHCOCK
Credential	:
Telephone Number	:	901-497-3805

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	04/08/2026

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Directions to “CG&T SOLUTIONS LLC ” Practice Location

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