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Individual

DR. SARAH KOTCHEN RACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 765-3409
(901) 765-3343
Mailing address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 765-3409
(901) 765-3343

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
17706
MS
2084P0800X
Psychiatry Physician
Primary
47208
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00126103
MS
01
260051193
PALMETTO GBA-RAILROAD MED
MS
Enumeration date
06/09/2006
Last updated
08/26/2016
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