Organization
MEMPHIS LUNG PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY L UDOUJ (ADMINISTRATOR)
(901) 767-5864
Entity
Organization
Contact information
Practice address
6025 WALNUT GROVE RD, SUITE 508, MEMPHIS, TN 38120-2131
(901) 767-5864
(901) 767-6591
Mailing address
6025 WALNUT GROVE RD, SUITE 508, MEMPHIS, TN 38120-2131
(901) 767-5864
(901) 767-6591
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010462
—
MS
05
—
3381272
—
TN
Enumeration date
07/01/2006
Last updated
02/09/2010
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