Provider Demographics
NPI:1326882382
Name:BEAUTIFUL MEDICINE 360
Entity type:Organization
Organization Name:BEAUTIFUL MEDICINE 360
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:RIGNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-866-8716
Mailing Address - Street 1:7205 WOLF RIVER BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1776
Mailing Address - Country:US
Mailing Address - Phone:901-866-8716
Mailing Address - Fax:901-751-4000
Practice Address - Street 1:7205 WOLF RIVER BLVD STE 150
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1776
Practice Address - Country:US
Practice Address - Phone:901-866-8716
Practice Address - Fax:901-751-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service