Individual
GARY GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
6025 WALNUT GROVE RD, SUITE 508, MEMPHIS, TN 38120-2131
(901) 767-5864
(901) 767-6591
Mailing address
1500 W POPLAR AVE, SUITE 312, COLLIERVILLE, TN 38017-0601
(901) 850-1170
(901) 850-1169
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6785
TN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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