# MEMPHIS OBSTETRICS AND GYNECOLOGICAL ASSOCIATION PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOGA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306884911
- **Authorized official:** ERIC W GIBSON (CFO)
- **Authorized official phone:** (901) 373-8949

## Contact information

- **Practice address:** 8110 N BROTHER BLVD STE 100, BARTLETT, TN 38133-2760
- **Practice address phone:** (901) 373-9221
- **Practice address fax:** (901) 202-5994
- **Mailing address:** 8110 N BROTHER BLVD STE 200, BARTLETT, TN 38133-2760
- **Mailing address phone:** (901) 255-5221
- **Mailing address fax:** (901) 373-4511

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 05/09/2024