Individual
DR. LARRY BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3794 PARK AVE, MEMPHIS, TN 38111-6649
(901) 323-7970
(901) 323-0061
Mailing address
3794 PARK AVE, MEMPHIS, TN 38111-6649
(901) 323-7970
(901) 323-0061
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM285
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3351088
—
TN
Enumeration date
03/29/2007
Last updated
01/23/2019
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