Midsouth Family Care PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD37786 Issued in TN

Legal business name

MIDSOUTH FAMILY CARE PLLC

Practice address

6005 Park Avenue
Suite 310
Memphis, TN 38119

Phone

(901) 763-0833

Fax

(901) 763-3831

NPI assigned

May 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Michelle Culbreth, MD

Title

Owner/Partner

Phone

(901) 763-0833

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1033376348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVENUE",
            "address_2": "SUITE 310",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-763-0833",
            "fax_number": "901-763-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVENUE",
            "address_2": "SUITE 310",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-763-0833",
            "fax_number": "901-763-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "CULBRETH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "901-763-0833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD37786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Town Internal Medicine, PLLC
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• Thomas M Middleton Jr., LPC
• David Michael Midlick Jr.
• Midsouth Healthcare Management
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• Midsouth Internists, PC
• Midsouth Mental Health LLC
• Midsouth Mental Health Services, Inc

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.