Individual
DR. LUELLA GRIGG CHURCHWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1335 CORDOVA CV, GERMANTOWN, TN 38138-2200
(901) 753-2794
(901) 753-8876
Mailing address
1335 CORDOVA CV, GERMANTOWN, TN 38138-2200
(901) 753-2794
(901) 753-8876
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
MD18578
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3018898
BCBS
TN
05
—
3068672
—
TN
Enumeration date
10/17/2005
Last updated
05/08/2024
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