# THE TANKERSLEY CLINIC, PLLC

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

## Provider details

- **NPI number:** 1588181580
- **Authorized official:** DR. MICHAEL TANKERSLEY MD (OWNER/FOUNDER)
- **Authorized official phone:** (901) 335-8966

## Contact information

- **Practice address:** 1458 W POPLAR AVE STE 205, COLLIERVILLE, TN 38017-0631
- **Practice address phone:** (901) 335-8966
- **Practice address fax:** (901) 244-2021
- **Mailing address:** 1458 W POPLAR AVE STE 205, COLLIERVILLE, TN 38017-0631
- **Mailing address phone:** (901) 335-8966
- **Mailing address fax:** (901) 244-2021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | — | NULL | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207NP0225X | Pediatric Dermatology Physician | — | NULL | — |
| 207NP0225X | Pediatric Dermatology Physician | — | — | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | — | — |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | NULL | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | — | — |
| 2080I0007X | Pediatric Clinical & Laboratory Immunology Physician | — | NULL | — |
| 2080I0007X | Pediatric Clinical & Laboratory Immunology Physician | — | — | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | NULL | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | — | — |

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 03/18/2022