Individual
COURTNEY BROOKE SHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 685-2969
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
29339
MS
207Y00000X
Otolaryngology Physician
Primary
48308
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04088114
—
MS
05
—
1529232
—
TN
05
—
193392001
—
AR
Enumeration date
06/25/2007
Last updated
09/14/2021
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