Individual
THOMAS WARREN RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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, ATTN: CREDENTIALING, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
14362
MS
207RH0003X
Hematology & Oncology Physician
Primary
31689
TN
207RH0003X
Hematology & Oncology Physician
E3185
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122677
—
MS
05
—
143951001
—
AR
01
—
3127676
BLUE CROSS BLUE SHIELD
TN
05
—
3840320
—
TN
01
—
7157268
CIGNA
—
01
—
7366016
AETNA
—
Enumeration date
08/01/2005
Last updated
04/04/2017
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