MEDICARE: INTEGRITY ONCOLOGY, 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	174400000X	Specialist	019652	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	103G702703	OTHER	TN	PTAN

General Provider Information

NPI Number	:	1699009290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY ONCOLOGY, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 5116
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38101-5116
Country	:	US
Telephone Number	:	901-853-6012
Fax Number	:	901-853-6069

Provider Business Practice Location Address
First Line	:	1936 W POPLAR AVE
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-0605
Country	:	US
Telephone Number	:	901-853-6012
Fax Number	:	901-853-6069

Authorized Official
Title or Position	:	MANAGING PHYSICIAN
Name	:	DR. ALBERT EARLE WEEKS
Credential	:	MD
Telephone Number	:	901-853-6012

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	01/12/2011

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