Healthcare Provider Details

I. General information

NPI: 1508044694
Provider Name (Legal Business Name): DOLLAR INVESTMENT CORP OF MEMPHIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3426 PARK AVE
MEMPHIS TN
38111-4134
US

IV. Provider business mailing address

3426 PARK AVE
MEMPHIS TN
38111-4134
US

V. Phone/Fax

Practice location:
  • Phone: 901-324-1007
  • Fax: 901-324-1431
Mailing address:
  • Phone: 901-324-1007
  • Fax: 901-324-1431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number620402-C
License Number StateTN

VIII. Authorized Official

Name: RYAN MILLER
Title or Position: PRESIDENT
Credential:
Phone: 901-406-8239