OrganizationActive
Clinic LLC
NPI 1033604574 · General Practice Physician · Memphis, TN
Provider details
- NPI number
- 1033604574
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Conner, Owner(901) 270-9145
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3393 Kirby Rd
Memphis, TN 38115-4253
Phone: (901) 542-0864
Approximate (ZIP-level) locationGet directions
Mailing address
1011 W Poplar Ave Ste 5
Collierville, TN 38017-2577
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2019-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.