Organization
BROCA INPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BYRNE M.D. (PRESIDENT/OWNER)
(214) 712-2000
Entity
Organization
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-3190
Mailing address
PO BOX 42971, PHILADELPHIA, PA 19101-2971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735123
—
TN
Enumeration date
06/04/2006
Last updated
04/20/2008
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