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Contact Information

MAIC PC
1509 UNION AVE
MEMPHIS, TN38104
 Phone: 901-278-5156
 Fax: 901-278-5161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Chiropractor

111N00000X 35 Chiropractic
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MAIC PC

NPI # 1427224856
LBN Legal business name MAIC PC
Authorized official ROGER BYRD - (SEC)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/06/2008
Last updated 05/06/2008 - About 18 years ago
Identifiers
TN License # 11736
TN License # 1470
TN License # APN0000005344
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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