Individual
DR. JEREMY SCOTT AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6799 GREAT OAKS RD STE 105, MEMPHIS, TN 38138-2572
(901) 821-8300
(901) 261-0718
Mailing address
6799 GREAT OAKS RD STE 105, MEMPHIS, TN 38138-2572
(901) 821-8300
(901) 261-0718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55874
TN
208000000X
Pediatrics Physician
55874
TN
Other
Enumeration date
04/16/2013
Last updated
10/03/2018
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