Shea Clinic

NPI #1760447015 in Memphis, Tennessee

Provider Information

NPI Number
1760447015
Entity Type
Organization
Organization Name
Shea Clinic
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Apr 19, 2006
Last Updated
Oct 21, 2010

Practice Location

Address
6133 POPLAR PIKE
ZIP Code
38119-4707
Phone
(901) 761-9720

Authorized Official

Name
MR. JOHN R GROSS
Title
ADMINISTRATOR
Phone
(901) 761-9720

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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