Organization
COLLIERVILLE MEDICAL SPECIALISTS
Active
Organization
COLLIERVILLE MEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND CLARENCE JEFFERS MD (CHAIRMAN OF THE BOARD)
(901) 854-1877
Entity
Organization
Contact information
Practice address
526 HALLE PARK DRIVE, COLLIERVILLE, TN 38017-7085
(901) 854-1877
(901) 854-6181
Mailing address
526 HALLE PARK DRIVE, COLLIERVILLE, TN 38017-7085
(901) 854-1877
(901) 854-6181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
09/11/2025
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