Individual
MRS. STACY MCKEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1076 CHAMBLISS RD, MEMPHIS, TN 38116-6381
(901) 348-2273
(901) 345-8499
Mailing address
7705 LYNX RUN CV, CORDOVA, TN 38016-5700
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
3056
TN
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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