Individual
DR. MADILYN FOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6025 STAGE RD, MEMPHIS, TN 38134-8374
(901) 373-4207
Mailing address
2864 FOREST HILL IRENE RD, GERMANTOWN, TN 38139-7801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3549
TN
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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