Healthcare Provider Details
I. General information
NPI: 1609881341
Provider Name (Legal Business Name): PHYSICIANS 1ST INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2006
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6041 MT. MORIAH RD STE 3
MEMPHIS TN
38115-2664
US
IV. Provider business mailing address
6041 MT. MORIAH RD STE 3
MEMPHIS TN
38116-2664
US
V. Phone/Fax
- Phone: 901-367-0811
- Fax: 901-367-9569
- Phone: 901-367-0811
- Fax: 901-367-9569
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
W
ADAMS
II
Title or Position: OWNER
Credential: MD
Phone: 901-367-0811