Individual
DR. BREION DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 KIRBY RD, MEMPHIS, TN 38119-8221
(901) 755-7392
Mailing address
4516 ALIXS DR, MEMPHIS, TN 38125-3303
(901) 490-4438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11121
TN
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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