Individual
DR. COREY SHANE MCGLOTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1264 WESLEY DR, STE 402, MEMPHIS, TN 38116-6400
(901) 396-5577
(901) 396-5585
Mailing address
1264 WESLEY DR, STE 402, MEMPHIS, TN 38116-6400
(901) 396-5577
(901) 396-5585
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
207VX0000X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3886979
—
TN
Enumeration date
08/30/2006
Last updated
12/20/2010
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