Individual
MCKINLEY WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6821 RALEIGH LAGRANGE RD, MEMPHIS, TN 38134-7031
(866) 563-7772
(901) 255-0758
Mailing address
8295 TOURNAMENT DR, 150, MEMPHIS, TN 38125-8906
(866) 563-7772
(901) 255-0758
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14090
TN
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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