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Individual

DR. NANCY H DUCKWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
539 LEMASTER ST, MEMPHIS, TN 38104-5133
(901) 274-6688
Mailing address
539 LEMASTER ST, MEMPHIS, TN 38104-5133
(901) 274-6688

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TN6911
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18549
MS
05
AR115593001
AR
05
MO201614708
MO
05
TN3159246
TN
Enumeration date
06/26/2009
Last updated
06/26/2009
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