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Specialty details in registry · Memphis, TN

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At a glance

7636 Ironwood Cv, Memphis, TN 38125-3029

NPPES record updated Jan 12, 2023. Public records can lag behind changes at a practice.

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Practice location

7636 Ironwood Cv
Memphis, TN 38125-3029

Professional details: NPI, taxonomy & registry record

NPI1033823141

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 133NN1002X
Enumeration date: Jan 12, 2023
Record updated: Jan 12, 2023

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

133NN1002X · Primary

Specialty details in registry

172A00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

7636 Ironwood Cv
Memphis, TN 38125-3029

Phone: (612) 986-9756

Mailing address

7636 IRONWOOD CV

MEMPHIS, TN 381253029

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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