Individual
EBONIE TYLER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
400 FOGELMAN DR # 126, MEMPHIS, TN 38152-0001
(901) 678-2147
Mailing address
400 FOGELMAN DR # 126, MEMPHIS, TN 38152-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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