Individual
STEPHEN C THRELKELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6029 WALNUT GROVE RD STE C002, MEMPHIS, TN 38120-2112
(901) 685-3490
(901) 685-3499
Mailing address
6799 GREAT OAKS RD STE 250, MEMPHIS, TN 38138-2584
(901) 685-3490
(901) 685-3499
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD28793
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124291
—
MS
05
—
09016197
—
MS
05
—
115434001
—
AR
01
—
3155614
BCBST
TN
05
—
3721649
—
TN
05
—
3811529
—
TN
Enumeration date
03/06/2006
Last updated
01/02/2019
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