Individual
MISS CYRILYN AMARIE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
1612 BLACKALDER CV, CORDOVA, TN 38016-0652
(612) 419-6254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000047066
TN
208000000X
Pediatrics Physician
MD0000047066
TN
208M00000X
Hospitalist Physician
Primary
47066
TN
Other
Enumeration date
05/07/2007
Last updated
02/07/2020
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