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Individual

SHANE W. COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1407 UNION AVE, SUITE 200, MEMPHIS, TN 38104-3600
(901) 866-8813
(901) 302-2120
Mailing address
1407 UNION AVE, SUITE 640, MEMPHIS, TN 38104-3666
(901) 866-8360
(901) 302-2360

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT213433
PA

Other

Enumeration date
11/23/2010
Last updated
07/15/2020
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