Provider Demographics
NPI:1538172309
Name:DYNAMIC DIRECTIONS INTERNAL MEDICINE, PC
Entity type:Organization
Organization Name:DYNAMIC DIRECTIONS INTERNAL MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MC CAFFERTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-759-3447
Mailing Address - Street 1:7655 POPLAR AVE
Mailing Address - Street 2:#350
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3957
Mailing Address - Country:US
Mailing Address - Phone:901-759-3447
Mailing Address - Fax:901-759-4600
Practice Address - Street 1:7655 POPLAR AVE
Practice Address - Street 2:#350
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38138-3957
Practice Address - Country:US
Practice Address - Phone:901-759-3447
Practice Address - Fax:901-759-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty