Individual
MR. ADIDAS EDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 831-1876
Mailing address
3205 LAMPHIER AVE, MEMPHIS, TN 38112-1523
(901) 831-1876
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
25460
TN
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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