Individual
FREDDIE LEE EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 UNION AVE, MEMPHIS, TN 38174-0275
(901) 276-2410
(901) 261-6010
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25353
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3088058
—
TN
Enumeration date
02/08/2006
Last updated
10/25/2016
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