Individual
JOHANNA REYNA ROSALES-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3481 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3801
(901) 842-3165
Mailing address
4993 LYNBAR AVE, MEMPHIS, TN 38117-2029
(205) 876-5288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6174
TN
208000000X
Pediatrics Physician
6174
TN
Other
Enumeration date
01/02/2020
Last updated
07/01/2025
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