Organization
DHP OF TENNESSEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER BROOKSBANK M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/12/2012
Last updated
07/20/2012
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