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Organization
INTERVENTIONAL ASSOCIATES OF MEMPHIS, PC
Active
Organization
INTERVENTIONAL ASSOCIATES OF MEMPHIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R. WOODSIDE MD (CHIEF MEDICAL OFFICER)
(901) 448-1644
Entity
Organization
Contact information
Practice address
66 N PAULINE ST, SUITE 206, MEMPHIS, TN 38105-5105
(901) 448-2786
(901) 448-1772
Mailing address
66 N PAULINE ST, SUITE 206, MEMPHIS, TN 38105-5105
(901) 448-2786
(901) 448-1772
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/17/2005
Last updated
05/27/2008
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