Organization
UROLOGY OF MEMPHIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY ALLEN SMITH M.D. (OWNER)
(901) 373-8333
Entity
Organization
Contact information
Practice address
2996 KATE BOND, SUITE 307, BARTLETT, TN 38133
(901) 373-8333
(901) 373-9420
Mailing address
PO BOX 1000, DEPT. 221, MEMPHIS, TN 38148-0001
(901) 821-0338
(901) 821-0384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD15982
TN
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521990
—
TN
Enumeration date
11/14/2006
Last updated
01/27/2012
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