Individual
PAUL J KOLTNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
80 HUMPHREYS CENTER, SUITE 200, MEMPHIS, TN 38120
(901) 578-2538
(901) 578-2572
Mailing address
P.O. BOX 742392, ATLANTA, GA 30374-2392
(901) 227-4068
(901) 227-4051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1087
TN
Other
Enumeration date
11/01/2006
Last updated
03/06/2013
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