Healthcare Provider Details

I. General information

NPI: 1881995173
Provider Name (Legal Business Name): PLANNED PARENTHOOD GREATER MEMPHIS REGION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2010
Last Update Date: 12/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 POPLAR AVE SUITE 100
MEMPHIS TN
38112-3246
US

IV. Provider business mailing address

2430 POPLAR AVE SUITE 100
MEMPHIS TN
38112-3246
US

V. Phone/Fax

Practice location:
  • Phone: 901-725-1717
  • Fax: 901-274-1660
Mailing address:
  • Phone: 901-725-1717
  • Fax: 901-274-1660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number15325
License Number StateTN

VIII. Authorized Official

Name: ASHLEY COFFIELD
Title or Position: CEO
Credential:
Phone: 901-725-3003