103G00000X
Memphis, TN
Specialty
103G00000X
Credential
PH.D.
NPI
1568773521
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 103g00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 103G00000X