Individual
DR. PERRY CLYDE ROTHROCK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8309 CORDOVA RD, CORDOVA, TN 38016-2046
(901) 757-9984
(901) 757-0536
Mailing address
8309 CORDOVA RD, CORDOVA, TN 38016-2046
(901) 757-9984
(901) 757-0536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37500
TN
207Q00000X
Family Medicine Physician
C 7965
AR
Other
Enumeration date
12/06/2005
Last updated
04/06/2015
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