Individual
WALTER C IFEADIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6215 HUMPHREYS BLVD STE 300, MEMPHIS, TN 38120-2382
(901) 227-9870
(901) 227-9879
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
38519
GA
2080P0206X
Pediatric Gastroenterology Physician
Primary
54786
TN
Other
Enumeration date
08/09/2006
Last updated
12/07/2016
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