Individual
DANIEL RAY PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2569 DOUGLASS AVE, MEMPHIS, TN 38114-2532
(901) 701-2550
(901) 260-8449
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 260-8500
(901) 260-8598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47434
TN
207Q00000X
Family Medicine Physician
LL30976
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524486
—
TN
Enumeration date
06/12/2008
Last updated
03/30/2015
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