Individual
TANNER DOUGLAS CABBAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
853 JEFFERSON AVENUE E201, MEMPHIS, TN 38163-1405
(901) 448-1078
(901) 287-5062
Mailing address
853 JEFFERSON AVE # E201, MEMPHIS, TN 38103-2804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2020
Last updated
06/19/2023
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