Utmg

NPI 1467868000 - Specialist - 174400000X

NPI Details
NPI 1467868000
Enumeration Date 07/03/2014
Last Updated 07/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KERRY CANNON KERRY
Position CRNA
Phone (901) 448-5893
Fax
Practice Location
877 JEFFERSON AVE
MEMPHIS TN, 38103-2807, US
Phone (901) 448-5893
Fax
Business Location
1026 FAIRMEADOW RD
MEMPHIS TN, 38117-5414, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Tennessee
License Number 50542
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According to our database, Utmg NPI is 1467868000, taxonomy code is 174400000X and license number is 50542, license state is located at Tennessee. Utmg physically located at 877 Jefferson Ave, Memphis TN, 38103-2807. NPI Number 1033115704 has the healthcare provider type.

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1467868000 NPI number is provided on an as is basis without warranty of any kind. 1467868000 is maintained by the National Plan & Provider Enumeration System. The contents of Utmg are for informational purposes only.