# MEMPHIS MIDSOUTH OBGYN ALLIANCE P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1598892325
- **Authorized official:** DR. JACK C SANFORD M.D. (PRESIDENT)
- **Authorized official phone:** (901) 685-7342

## Contact information

- **Practice address:** 6215 HUMPREHYS BLVD, SUITE 400, MEMPHIS, TN 38120
- **Practice address phone:** (901) 685-7342
- **Practice address fax:** (901) 767-0423
- **Mailing address:** 6215 HUMPREHYS BLVD, SUITE 400, MEMPHIS, TN 38120
- **Mailing address phone:** (901) 685-7342
- **Mailing address fax:** (901) 767-0423

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 07/08/2013