Individual
GREGORY JOSEF CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 UNION AVE, SUITE 400, MEMPHIS, TN 38104
(901) 725-8920
(901) 725-8934
Mailing address
PO BOX 1885, MEMPHIS, TN 38101-1885
(901) 725-8920
(901) 725-8934
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0000018003
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158519001
—
AR
05
—
3026721
—
TN
Enumeration date
03/21/2006
Last updated
02/12/2013
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