Organization
OTYLIA PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRZYSZTOF TYSZKA (OWNER)
(901) 878-3366
Entity
Organization
Contact information
Practice address
4913 RALEIGH COMMON DR STE 201, MEMPHIS, TN 38128-2485
(901) 878-3366
(901) 492-4941
Mailing address
4913 RALEIGH COMMON DR STE 201, MEMPHIS, TN 38128-2485
(901) 878-3366
(901) 492-4941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/27/2019
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