OrganizationActive
Mtn Orthoxpress Holdings, LLC
NPI 1376279463 · Sports Medicine (Orthopaedic Surgery) Physician · Atoka, TN
Provider details
- NPI number
- 1376279463
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Bullock, President(662) 534-2227
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11645 Highway 51 S Ste 103
Atoka, TN 38004-2001
Phone: (901) 407-2221
Fax: (901) 407-2300
Approximate (ZIP-level) locationGet directions
Mailing address
206 Oxford Rd
New Albany, MS 38652-3115
Additional practice locations (1)
- 6515 Poplar Ave Ste 106Memphis, TN 38119-4878Phone: (901) 426-1090Fax: (901) 426-1091
Registry dates
- Enumerated
- 2022-07-29
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.