# TRISTATE OBGYN, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104274091
- **Authorized official:** STEPHEN EHIREMEN MD (PRESIDENT)
- **Authorized official phone:** (901) 937-9549

## Contact information

- **Practice address:** 3337 KIRBY PKWY, MEMPHIS, TN 38115-3816
- **Practice address phone:** (901) 590-4428
- **Practice address fax:** (901) 249-5827
- **Mailing address:** PO BOX 1377, DEPT 800, COLLIERVILLE, TN 38027-1377
- **Mailing address phone:** (901) 590-4428
- **Mailing address fax:** (901) 249-5827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 03/21/2024