Individual
KRISTIE NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6029 WALNUT GROVE RD STE C002, MEMPHIS, TN 38120-2112
(901) 685-3490
(901) 685-3499
Mailing address
6799 GREAT OAKS RD STE 250, MEMPHIS, TN 38138-2584
(901) 685-3490
(901) 685-3499
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036153201
IL
207RI0200X
Infectious Disease Physician
Primary
56938
TN
Other
Enumeration date
04/18/2006
Last updated
11/19/2020
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