Provider Demographics
NPI:1962942615
Name:MEDPARTNERS INC
Entity type:Organization
Organization Name:MEDPARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-825-9096
Mailing Address - Street 1:8454 PRESTINE LOOP
Mailing Address - Street 2:301
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4113
Mailing Address - Country:US
Mailing Address - Phone:901-825-9096
Mailing Address - Fax:
Practice Address - Street 1:8454 PRESTINE LOOP
Practice Address - Street 2:301
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4113
Practice Address - Country:US
Practice Address - Phone:901-825-9096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty