Organization
PERIODONTAL ASSOCIATES OF MEMPHIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA F PATTON (OFFICE MANAGER)
(901) 761-3770
Entity
Organization
Contact information
Practice address
6268 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 761-3770
(901) 761-3775
Mailing address
6268 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 761-3770
(901) 761-3775
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS7731
TN
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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