Healthcare Provider Details

I. General information

NPI: 1467664847
Provider Name (Legal Business Name): HEALTHFIRST MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2007
Last Update Date: 11/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 EASTMORELAND AVE SUITE 525
MEMPHIS TN
38104-3519
US

IV. Provider business mailing address

PO BOX 42116
MEMPHIS TN
38174-2116
US

V. Phone/Fax

Practice location:
  • Phone: 901-722-0088
  • Fax: 901-722-0082
Mailing address:
  • Phone: 901-722-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number0510888
License Number StateTN

VIII. Authorized Official

Name: DR. OLAWALE A MORAFA
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 901-722-0088