Organization Name: | TOTAL HEATLH CARE |
NPI Number: | 1861719445 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICKEY HUGH HUDSON (OWNER) |
Mailing Address: | 4299 Elvis Presley B;vd. Memphis |
State: | TN US |
Postal Code: | 381166435 |
Phone Number: | 9013325873 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2010 |
NPI Last Update Date: | 04/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13959 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |