Provider Demographics
NPI:1114322245
Name:CG& T
Entity Type:Organization
Organization Name:CG& T
Other - Org Name:PRIMARY MEDICAL PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HATCHCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-767-8077
Mailing Address - Street 1:721 W BROOKHAVEN CIR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4503
Mailing Address - Country:US
Mailing Address - Phone:901-767-8077
Mailing Address - Fax:901-767-8861
Practice Address - Street 1:721 W BROOKHAVEN CIR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4503
Practice Address - Country:US
Practice Address - Phone:901-767-8077
Practice Address - Fax:901-767-8861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty