208100000X
Memphis, TN
Specialty
208100000X
Credential
MD
NPI
1265421812
6325 Humphreys Blvd, Memphis, TN 38120
(901) 522-7700Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X