Provider Demographics
NPI:1942867049
Name:PALMER MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:PALMER MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHROIZED OFFICIAL/SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DPN
Authorized Official - Phone:901-488-0089
Mailing Address - Street 1:PO BOX 381075
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-1075
Mailing Address - Country:US
Mailing Address - Phone:901-821-0338
Mailing Address - Fax:901-507-8298
Practice Address - Street 1:984 ROCKY POINT RD
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6504
Practice Address - Country:US
Practice Address - Phone:901-821-0338
Practice Address - Fax:901-507-8298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty