Organization
YUKON CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LAURENCE YUKON M.D. (PHYSICIAN OWNER)
(901) 755-8300
Entity
Organization
Contact information
Practice address
1355 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 755-8300
(901) 755-7568
Mailing address
1355 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 755-8300
(901) 755-7568
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD26524
TN
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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