Individual
DEIDREA LATRICE GRANDBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7705 POPLAR AVE, STE 150 BLDG B, MEMPHIS, TN 38138-3930
(901) 276-3222
(901) 276-1398
Mailing address
1469 POPLAR AVE, MEMPHIS, TN 38104-2934
(901) 276-3222
(901) 276-1398
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD38629
TN
Other
Enumeration date
01/16/2007
Last updated
11/10/2011
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