Organization
MEMPHIS SPINE AND SPORT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MAZAS HOGAN DC (OWNER)
(901) 752-4300
Entity
Organization
Contact information
Practice address
1740 N GERMANTOWN PKWY, SUITE 6, CORDOVA, TN 38016-3307
(901) 752-4300
(901) 244-7072
Mailing address
1740 N GERMANTOWN PKWY, SUITE 6, CORDOVA, TN 38016-3307
(901) 752-4300
(901) 244-7072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2912
TN
Other
Enumeration date
09/15/2016
Last updated
03/30/2018
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