DR. Detra Michelle Tisdale M.D.

  • NPI 1730273079
According to our database, the NPI number for DR. Detra Michelle Tisdale M.D. is 1730273079 and activated since 17 years ago. DR. Detra Michelle Tisdale M.D. is an individual provider who specializes in Internal Medicine, and the primary practice location is 1144 N Houston Levee Rd, Cordova, TN 38018. You can also contact DR. Detra Michelle Tisdale M.D. via telephone number is (901) 382-2044. Provider NPI information was last updated on 12/06/2010.

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Overview of DR. Detra Michelle Tisdale M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/03/2006
  • Last updated: 12/06/2010

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 46435
  • License State: TN

Provider Mailing Address

  • Address: 1144 N Houston Levee Rd
    Suite 102
    Cordova, TN 38018
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1144 N Houston Levee Rd
    Suite 102
    Cordova, TN 38018
  • Phone: 901-382-2044
  • Fax:

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 46435
  • License State: TN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 06837219
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Detra Michelle Tisdale M.D.?
  • A: The npi number for DR. Detra Michelle Tisdale M.D. is 1730273079.
  • Q: What are DR. Detra Michelle Tisdale M.D.'s specialties?
  • A: DR. Detra Michelle Tisdale M.D.'s specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for DR. Detra Michelle Tisdale M.D.?
  • A: The medical license number for DR. Detra Michelle Tisdale M.D. is 46435 and issued in TN in USA.
  • Q: Where is DR. Detra Michelle Tisdale M.D. practice location?
  • A: DR. Detra Michelle Tisdale M.D. is practicing at 1144 N Houston Levee Rd, Cordova, TN 38018.
  • Q: How to contact DR. Detra Michelle Tisdale M.D.?
  • A: You can contact DR. Detra Michelle Tisdale M.D. via 901-382-2044.
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