Individual
GRACE BAZAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
51 N DUNLAP ST FL 3, MEMPHIS, TN 38105-4625
(901) 287-7337
Mailing address
49 N DUNLAP ST FL 1, MEMPHIS, TN 38103-2802
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
54820
TN
Other
Enumeration date
04/30/2014
Last updated
07/21/2020
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