Healthcare Provider Details
I. General information
NPI: 1174562144
Provider Name (Legal Business Name): HEALTH LINK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3155 JOFFRE AVE
MEMPHIS TN
38111-3430
US
IV. Provider business mailing address
3155 JOFFRE AVE
MEMPHIS TN
38111-3430
US
V. Phone/Fax
- Phone: 901-251-8086
- Fax:
- Phone: 901-251-8086
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
RENEE
WARE
MCGHEE
Title or Position: PRESIDENT
Credential:
Phone: 901-252-8086