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Individual

JOHN EDWIN SCALLIONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
5683 S REX RD, MEMPHIS, TN 38119-3821
(601) 350-0678
(901) 350-0677
Mailing address
P O BOX 1000 DEPT 960, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19975
TN
363LF0000X
Family Nurse Practitioner
890929
MS

Other

Enumeration date
02/17/2011
Last updated
10/25/2023
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