Individual
CHRISTI LEE CAZALAS EARNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1533 UNION AVE, MEMPHIS, TN 38104-3726
(901) 320-6915
(901) 320-6920
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30158
AL
207R00000X
Internal Medicine Physician
Primary
47922
TN
208000000X
Pediatrics Physician
30158
AL
208000000X
Pediatrics Physician
47922
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525696
—
TN
Enumeration date
04/26/2007
Last updated
05/14/2024
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