Individual
SUSAN ALEXANDRA ROATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5545 MURRAY AVE STE 130, MEMPHIS, TN 38119-3861
(901) 682-6828
Mailing address
PO BOX 171181, MEMPHIS, TN 38187-1181
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0000060177
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2018
Last updated
07/22/2022
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