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NPI Code Detail

MEDICARE: AEGIS GROUP PRACTICE LLC

MEDICARE: AEGIS GROUP PRACTICE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1235915695
Entity Type Code : Organization
Provider Name (Legal Business Name) : AEGIS GROUP PRACTICE LLC
Provider Business Mailing Address
First Line : 4933 OLD GREENWOOD RD
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6480 QUINCE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-8222
Country : US
Telephone Number : 800-444-6845
Fax Number :
Authorized Official
Title or Position : CONTRACT SPECIALIST
Name : TRACY MCCALL
Credential :
Telephone Number : 479-201-6091
Provider Enumeration Date : 09/01/2023
Last Update Date : 09/01/2023

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Directions to “AEGIS GROUP PRACTICE LLC ” Practice Location

Language Start Address Practice Location
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