Organization
MESTEMACHER CLINIC FOR WOMEN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC W GIBSON (CEO)
(901) 373-8949
Entity
Organization
Contact information
Practice address
7918 WOLF RIVER BLVD., GERMANTOWN, TN 38138-1725
(901) 624-4444
(901) 202-4920
Mailing address
7918 WOLF RIVER BLVD., GERMANTOWN, TN 38138-1725
(901) 624-4444
(901) 202-4920
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ3581
RAILROAD MEDICARE
TN
Enumeration date
06/05/2007
Last updated
12/12/2011
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