MEDICARE: MORNING CENTER

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
1	207VX0000X	Obstetrics Physician

General Provider Information

NPI Number	:	1467043703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORNING CENTER

Provider Business Mailing Address
First Line	:	3638 MACON RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-2209
Country	:	US
Telephone Number	:	901-209-0195
Fax Number	:	866-252-5243

Provider Business Practice Location Address
First Line	:	3638 MACON RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-2209
Country	:	US
Telephone Number	:	901-209-0195
Fax Number	:	866-252-5243

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	ELAINE ILARI
Credential	:
Telephone Number	:	901-209-0195

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	01/29/2021

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Directions to “MORNING CENTER ” Practice Location

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