Unknown Individual – Urology Physician, NPI 1114985272
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1325, Wolf Park Drive, Germantown, Shelby County, Tennessee, 38138, United States
SUITE 103
GERMANTOWN, TN 381381742
Phone: (901) 252-3411
Fax: (901) 384-6422
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38138)
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