Provider Demographics
NPI:1265486542
Name:WOMEN'S CARE CENTER OF MEMPHIS, MPLLC
Entity Type:Organization
Organization Name:WOMEN'S CARE CENTER OF MEMPHIS, MPLLC
Other - Org Name:DBA ADAMS PATTERSON GYNECOLOGY & OBSTETRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FLOY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-767-3810
Mailing Address - Street 1:1727 KIRBY PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120
Mailing Address - Country:US
Mailing Address - Phone:901-767-3810
Mailing Address - Fax:901-682-2920
Practice Address - Street 1:1727 KIRBY PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120
Practice Address - Country:US
Practice Address - Phone:901-767-3810
Practice Address - Fax:901-682-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3714915Medicare PIN