Faircloth, Michele Kamp
Faircloth, Michele Kamp is an individual health care provider with primary practice located at 7691 Poplar Ave , Germantown TN 38138-3904. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Faircloth, Michele Kamp can be contacted via phone (901) 516-1290.Contact Information
Primary practice address
7691 Poplar Ave
Germantown TN 38138-3904
Phone: (901) 516-1290
Fax: (901) 516-1220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 48481 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23748 | Mississippi |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 23748 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48481 | Tennessee |
Profile Details
| NPI number | 1124254404 |
|---|---|
| LBN Legal business name | Faircloth, Michele Kamp |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2009 |
| Last updated | Apr 1st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124254404 | NPPES |
| Mississippi | MEDICAID | 03259503 | |
| Mississippi | Other | 4330515 | |
| Mississippi | MEDICAID | 193853001 | |
| Mississippi | MEDICAID | 1529195 | |
| Mississippi | Other | P01133352 |
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