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NPI Code Detail

MEDICARE: MEMPHIS LUNG PHYSICIANS FOUNDATION, INC.

MEDICARE: MEMPHIS LUNG PHYSICIANS FOUNDATION, INC.
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician
2207RS0012XSleep Medicine (Internal Medicine) Physician
32086S0102XSurgical Critical Care Physician
4363A00000XPhysician Assistant
5363LA2100XAcute Care Nurse Practitioner
6363LG0600XGerontology Nurse Practitioner
7363LF0000XFamily Nurse Practitioner
8207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1811279656
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMPHIS LUNG PHYSICIANS FOUNDATION, INC.
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number : 901-767-5864
Fax Number : 901-767-6591
Provider Business Practice Location Address
First Line : 2120 EXETER RD STE 250
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-3931
Country : US
Telephone Number : 901-767-5864
Fax Number :
Authorized Official
Title or Position : SR VP/ CLO
Name : GREGORY M DUCKETT
Credential :
Telephone Number : 901-227-5233
Provider Enumeration Date : 09/19/2011
Last Update Date : 02/14/2022

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Directions to “MEMPHIS LUNG PHYSICIANS FOUNDATION, INC. ” Practice Location

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