Individual
DR. CHARLOTTE A DEFLUMERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1068 CRESTHAVEN RD, SUITE 110, MEMPHIS, TN 38119-0800
(901) 405-6470
(901) 747-2338
Mailing address
PO BOX 17825, MEMPHIS, TN 38187-0825
(901) 405-6470
(901) 747-2338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000020004
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110214654
RAILROAD MEDICARE
TN
01
—
3106698
TN BCBS PROVIDER NUMBER
TN
05
—
3826001
—
TN
01
—
4417762
AETNA
TN
05
—
5007925
—
TN
01
—
627127667
TAX ID
TN
Enumeration date
05/23/2005
Last updated
09/11/2012
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