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Specialty details in registry · Memphis, TN

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At a glance

6025 Primacy Pkwy, Memphis, TN 38119-5763

NPPES record updated Aug 25, 2008. Public records can lag behind changes at a practice.

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Practice location

6025 Primacy Pkwy
Memphis, TN 38119-5763

Professional details: NPI, taxonomy & registry record

NPI1760639462

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 283X00000X
Enumeration date: Aug 25, 2008
Record updated: Aug 25, 2008

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

283X00000X · Primary

Specialty details in registry

314000000X

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

Practice location

6025 Primacy Pkwy
Memphis, TN 38119-5763

Phone: (901) 818-5932
Fax: (901) 374-9603

Mailing address

6025 PRIMACY PKWY

MEMPHIS, TN 381195763

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

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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