Individual
MICHAEL CHRISTOPHER SOULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E PARKWAY S, MEMPHIS, TN 38104-5519
(901) 321-3388
Mailing address
650 E PARKWAY S, MEMPHIS, TN 38104-5519
(901) 321-3388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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