Individual
TIMOTHY GAGE BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6025 WALNUT GROVE ROAD SUITE 207, MEMPHIS, TN 38120
(901) 226-4287
Mailing address
6025 WALNUT GROVE ROAD SUITE 207, MEMPHIS, TN 38120
(901) 226-4287
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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