Organization
THE TANKERSLEY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TANKERSLEY MD (OWNER/FOUNDER)
(901) 335-8966
Entity
Organization
Contact information
Practice address
1458 W POPLAR AVE STE 205, COLLIERVILLE, TN 38017-0631
(901) 335-8966
(901) 244-2021
Mailing address
1458 W POPLAR AVE STE 205, COLLIERVILLE, TN 38017-0631
(901) 335-8966
(901) 244-2021
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207KA0200X
Allergy Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
207N00000X
Dermatology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
2080I0007X
Pediatric Clinical & Laboratory Immunology Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
Other
Enumeration date
08/29/2017
Last updated
03/18/2022
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