Healthcare Provider Details
I. General information
NPI: 1215569207
Provider Name (Legal Business Name): INTERNAL HEALTH AND MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2020
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1176 VICKERY LN STE 220
CORDOVA TN
38016-0631
US
IV. Provider business mailing address
1176 VICKERY LN STE 220
CORDOVA TN
38016-0631
US
V. Phone/Fax
- Phone: 901-421-5251
- Fax: 901-249-6179
- Phone: 901-421-5251
- Fax: 901-421-5174
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QG0300X |
| Taxonomy | Geriatric Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARGARET
HENDERSON-LEE
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 901-421-5251