| NPI | 1124588793 |
|---|---|
| Doing Business As | POPLAR AVENUE CLINIC PLLC |
| Entity Type | Organization |
| Authorized Contact | HUDA ALAEDDIN Office Manager 901-870-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 2086S0129X Surgery, Vascular Surgery | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2022-09-06 |