Individual
DR. HERVEY D SEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-7337
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A20476
CA
2085N0700X
Neuroradiology Physician
Primary
59813
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A204760
BLUE SHIELD
CA
05
—
00A204760
—
CA
01
—
00A204760G56
CAL OPTIMA
CA
01
—
P00079643
RAIL ROAD MEDICARE
CA
Enumeration date
06/09/2006
Last updated
12/02/2019
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