Individual
DR. LOUIS J MAGNOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 JEFFERSON AVENUE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103
(901) 545-6286
(901) 545-8122
Mailing address
66 N PAULINE ST, SUITE 206, MEMPHIS, TN 38105-5105
(901) 448-7642
(901) 448-8015
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
35504
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3325997
—
TN
Enumeration date
04/21/2006
Last updated
11/06/2018
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