Organization
TRI-STATE NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J WANG (PRESIDENT / OWNER)
(901) 820-0141
Entity
Organization
Contact information
Practice address
5100 SANDERLIN AVE STE 2100, MEMPHIS, TN 38117-4387
(901) 820-0141
(901) 820-0144
Mailing address
5100 SANDERLIN AVE STE 2100, MEMPHIS, TN 38117-4387
(901) 820-0141
(901) 820-0144
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD0000030878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126261
—
MS
05
—
138488001
—
AR
05
—
206187502
—
MO
05
—
3838091
—
TN
Enumeration date
12/20/2006
Last updated
11/30/2017
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