Individual
DR. GREGORY ALAN TETRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1030 JEFFERSON AVE, MEDICAL CENTER 614/113, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7284
Mailing address
1603 PECAN RIDGE DR, COLLIERVILLE, TN 38017-9096
(901) 861-3716
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
37956
TN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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