institution
Your Ent, Pllc
Medical Specialty Clinic/Center in Collierville, Tennessee
NPI 1023550100

Your Ent, Pllc is a Medical Specialty Clinic/Center based in Collierville, TN and is specialized in Medical Specialty. Your Ent, Pllc practices in Collierville, TN. The NPI Number for Your Ent, Pllc is 1023550100 and holds a License No. 15081 (Tennessee).

The current practice location address for Your Ent, Pllc is 2028 W Poplar Ave, Collierville, TN and can be reached out via phone at 901-861-2526 and via fax at 901-861-2527.

Location: 2028 W Poplar Ave, Collierville, TN, 38017-0618
institution
Provider Profile Details
NPI Number
1023550100
Provider Name
Your Ent, Pllc
Credential
Provider Entity Type
Organization
Address
2028 W Poplar Ave, Collierville, TN, 38017-0618
Phone Number
901-861-2526
Fax Number
901-861-2527
Provider Enumeration Date
11/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1519558 05 TN
P00873707 01 TN MEDICARE RAILROAD
01434865 05 MS
5073174 01 TN CIGNA
183493758 05 AR
4270955 01 TN BLUE CROSS/BLUE SHIELD
1740591437 05 MO
3196332 01 TN UNITED HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
2028 W Poplar Ave
City
State
Zip
38017-0618
Phone Number
901-861-2526
Fax Number
901-861-2527
person
Provider Business Mailing Address Details
Address
2028 W Poplar Ave
City
State
Zip
38017-0618
Phone Number
901-861-2526
Fax Number
901-861-2527
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
15081 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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