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Organization
EAST MEMPHIS UROLOGY CENTER, LP
Active
Organization
EAST MEMPHIS UROLOGY CENTER, LP
Active
Other names
Urocenter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY ALLEN SMITH M.D. (MEDICAL DIRECTOR)
(901) 747-3370
Entity
Organization
Contact information
Practice address
80 HUMPHREYS CTR, SUITE 310, MEMPHIS, TN 38120-2353
(901) 747-3370
(901) 747-3372
Mailing address
80 HUMPHREYS CTR, SUITE 310, MEMPHIS, TN 38120-2353
(901) 747-3370
(901) 747-3372
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000122
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3146732
BCBS PROVIDER NUMBER
TN
Enumeration date
02/14/2006
Last updated
08/22/2020
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