Healthcare Provider Details

I. General information

NPI: 1265834048
Provider Name (Legal Business Name): CAREMORE MEDICAL GROUP OF TENNESSEE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 08/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 JEFFERSON
MEMPHIS TN
38104
US

IV. Provider business mailing address

12900 PARK PLAZA DR SUITE 150
CERRITOS CA
90703-9329
US

V. Phone/Fax

Practice location:
  • Phone: 562-622-2905
  • Fax:
Mailing address:
  • Phone: 562-622-2905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD0000044393
License Number StateTN

VIII. Authorized Official

Name: TERENCE RHONE
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 888-291-1358