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Organization
MEMPHIS MIDSOUTH OBGYN ALLIANCE P.C.
Active
Organization
MEMPHIS MIDSOUTH OBGYN ALLIANCE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK C SANFORD M.D. (PRESIDENT)
(901) 685-7342
Entity
Organization
Contact information
Practice address
6215 HUMPREHYS BLVD, SUITE 400, MEMPHIS, TN 38120
(901) 685-7342
(901) 767-0423
Mailing address
6215 HUMPREHYS BLVD, SUITE 400, MEMPHIS, TN 38120
(901) 685-7342
(901) 767-0423
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2013
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