MEDICARE: ORTHONOW, PLLC

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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1518117043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHONOW, PLLC

Provider Business Mailing Address
First Line	:	3960 KNIGHT ARNOLD RD
Second Line	:	SUITE 106
City	:	MEMPHIS
State	:	TN
Zip	:	38118-3035
Country	:	US
Telephone Number	:	901-363-3600
Fax Number	:	901-363-3500

Provider Business Practice Location Address
First Line	:	4901 RALEIGH COMMON DR STE 200
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-2478
Country	:	US
Telephone Number	:	901-363-3600
Fax Number	:	901-363-3500

Authorized Official
Title or Position	:	PHYSICIAN SERVICES MANAGER
Name	:	ELIZABETH BRETH
Credential	:
Telephone Number	:	901-363-3600

Provider Enumeration Date	:	09/20/2008
Last Update Date	:	12/28/2023

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