Individual
DR. RICHARD ELLIS FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030997
GA
174400000X
Specialist
MD0000048233
TN
Other
Enumeration date
03/01/2006
Last updated
01/23/2014
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