Individual
MR. ERNEST O BOTTS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1300 WESLEY DR, MEMPHIS, TN 38116-6499
(901) 516-3700
Mailing address
1300 WESLEY DR, MEMPHIS, TN 38116-6426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/26/2022
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