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Individual

JAMES DRUCKENMILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
4515 POPLAR AVE STE 108-B, MEMPHIS, TN 38117-7503
(901) 767-3045
Mailing address
7600 DEXTER PARK DR, CORDOVA, TN 38016-8749
(901) 301-3399

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1024
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1024
H.I.S. LICENSE #
TN
Enumeration date
08/03/2022
Last updated
08/08/2022
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