Individual
CHRISTOPHER GULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
363 SOUTHCREST CIR STE 202, SOUTHAVEN, MS 38671-4737
(901) 226-0456
(901) 226-0458
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3555
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
906487
MS
Other
Enumeration date
01/22/2024
Last updated
06/24/2024
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