Tri-State Medical Management

NPI #1235502204 in Memphis, Tennessee

Provider Information

NPI Number
1235502204
Entity Type
Organization
Organization Name
Tri-State Medical Management
Primary Specialty
Health Maintenance Organization
Enumeration Date
Nov 12, 2015
Last Updated
Nov 12, 2015

Practice Location

Address
2832 COLEMAN RD
ZIP Code
38128-5815
Phone
(901) 857-1150

Authorized Official

Name
MRS. KELLY DIANNE CASSRIEL
Title
PRESIDENT
Phone
(901) 857-1150

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory
Health Maintenance Organization

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