Organization
MEMPHIS PLASTIC SURGERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASGHAR KOLEYNI MD (MEDICAL DIRECTOR)
(901) 761-2400
Entity
Organization
Contact information
Practice address
6005 PARK AVE, SUITE 1007B, MEMPHIS, TN 38119-5202
(901) 761-2400
(901) 761-9892
Mailing address
6005 PARK AVE, SUITE 1007B, MEMPHIS, TN 38119-5225
(901) 761-2400
(901) 761-9892
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD0000008349
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3371390
—
TN
Enumeration date
07/30/2007
Last updated
07/30/2007
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